Provider Demographics
NPI:1003401894
Name:THORNE, DANICE (APRN)
Entity Type:Individual
Prefix:
First Name:DANICE
Middle Name:
Last Name:THORNE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1642
Mailing Address - Street 2:
Mailing Address - City:TROUT CREEK
Mailing Address - State:MT
Mailing Address - Zip Code:59874-1642
Mailing Address - Country:US
Mailing Address - Phone:406-827-8271
Mailing Address - Fax:406-258-0440
Practice Address - Street 1:109 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:THOMPSON FALLS
Practice Address - State:MT
Practice Address - Zip Code:59873-9426
Practice Address - Country:US
Practice Address - Phone:406-827-8271
Practice Address - Fax:406-258-0440
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN114486163W00000X
MTRN48933163WP0808X
HIAPRN-4136363LP0808X
MT174511363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health