Doctor Name: | DR. NANCY SHARON THORNER |
NPI Number: | 1649294190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | G57135 |
Business Practice Address: | 1667 Dominican Way Suite 234 Santa Cruz, CA - 950651518 |
Business Phone Number: | 8314763363 |
Business Fax Number: | 8314766837 |
Mailing Address: | 1667 Dominican Way, Suite 234 SANTA CRUZ |
State: | CA |
Postal Code: | 950651518 |
Phone Number: | 8314763363 |
Fax Number: | 8314766837 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G57135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |