Individual
MR. CALVIN LEE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
703 PRO MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Mailing address
703 PRO MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-3918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28226452A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017215A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71017215B
IN
Other
Enumeration date
10/03/2025
Last updated
11/19/2025
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