Individual
MRS. AMANDA GAYE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
628 HOSPITAL DR, SUITE 2A, MOUNTAIN HOME, AR 72653-2953
(870) 425-7300
(870) 425-4431
Mailing address
628 HOSPITAL DR, SUITE 2A, MOUNTAIN HOME, AR 72653-2953
(870) 425-7300
(870) 425-4431
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A01864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158290758
—
AR
01
—
5Y236
AR BCBS#
AR
Enumeration date
06/07/2006
Last updated
03/07/2023
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