Provider Demographics
NPI:1659603082
Name:THORP, SUZANNE (RNC, MS, WHNP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:THORP
Suffix:
Gender:F
Credentials:RNC, MS, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 SPRUCE WAY
Mailing Address - Street 2:
Mailing Address - City:BLACK HAWK
Mailing Address - State:CO
Mailing Address - Zip Code:80422-8818
Mailing Address - Country:US
Mailing Address - Phone:303-396-3426
Mailing Address - Fax:
Practice Address - Street 1:1284 S ABILENE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4629
Practice Address - Country:US
Practice Address - Phone:303-671-7526
Practice Address - Fax:303-671-7544
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02375363LW0102X
CO82542363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health