Doctor Name: | ERIN E THURMAN |
NPI Number: | 1053503144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 1076844 |
Business Practice Address: | 5150 Hill Rd E Ste E Lakeport, CA - 954535100 |
Business Phone Number: | 7072634360 |
Business Fax Number: | 7072634036 |
Mailing Address: | 1032 Promontory Ter, SAN RAMON |
State: | CA |
Postal Code: | 945831569 |
Phone Number: | 2096311492 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1076844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |