Provider Demographics
NPI:1467791590
Name:THUER, ANNMARIE CHRISTINE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:CHRISTINE
Last Name:THUER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:ANNMARIE
Other - Middle Name:CHRISTINE
Other - Last Name:BARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:53 OLD FORGE XING
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1119
Mailing Address - Country:US
Mailing Address - Phone:610-360-6471
Mailing Address - Fax:
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 370 MEDICAL SCIENCE BLDG.
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-642-3005
Practice Address - Fax:610-642-3057
Is Sole Proprietor?:No
Enumeration Date:2013-02-09
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012479363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMAIN LINE HEALTHCARE TAX ID