Provider Demographics
NPI:1134506637
Name:THORNHILL, DANDRE (RN)
Entity Type:Individual
Prefix:MISS
First Name:DANDRE
Middle Name:
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17213 ASPEN LEAF DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3620
Mailing Address - Country:US
Mailing Address - Phone:301-741-9035
Mailing Address - Fax:
Practice Address - Street 1:17213 ASPEN LEAF DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3620
Practice Address - Country:US
Practice Address - Phone:301-741-9035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies