Provider Demographics
NPI:1588840177
Name:THORNTON, AMY L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:THORNTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1026 GOODYEAR AVE.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35907
Mailing Address - Country:US
Mailing Address - Phone:256-492-7830
Mailing Address - Fax:256-492-7619
Practice Address - Street 1:1026 GOODYEAR AVE.
Practice Address - Street 2:SUITE 300
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35907
Practice Address - Country:US
Practice Address - Phone:256-492-7830
Practice Address - Fax:256-492-7619
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-087633363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner