Individual
MS. BETTINA ANN THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 COCHRANE CIR, BLDG. 7500, FORT CARSON, CO 80913-4603
(719) 526-7111
(719) 524-4090
Mailing address
8854 MONTEREY WAY, FOUNTAIN, CO 80817
(719) 382-4917
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.0150090
CO
163WE0003X
Emergency Registered Nurse
150090
CO
Other
Enumeration date
04/06/2006
Last updated
03/24/2021
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