Doctor Name: | KATHRYN HOLBY THORSON |
NPI Number: | 1255696233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | CNP121050 |
Business Practice Address: | 4 Horton Pl Suite 101 Topsham, ME - 040861747 |
Business Phone Number: | 2077986200 |
Business Fax Number: | 2077986290 |
Mailing Address: | 4 Horton Pl, Suite 101 TOPSHAM |
State: | ME |
Postal Code: | 040861747 |
Phone Number: | 2077986200 |
Fax Number: | 2077986290 |
NPI Enumeration Date: | 07/06/2012 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP121050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |