Individual
VALERIE LEE THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC/PMHNP-BC
Contact information
Practice address
1225 W 190TH ST, GARDENA, CA 90248-4320
(811) 331-0515
Mailing address
11203 WELTY LN, AUBURN, CA 95603-9702
(219) 781-0599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.006888
IL
363LF0000X
Family Nurse Practitioner
209006888
IL
363LF0000X
Family Nurse Practitioner
71002049A
IN
363LF0000X
Family Nurse Practitioner
71002049B
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95014967
CA
Other
Enumeration date
12/17/2007
Last updated
08/02/2022
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