Provider Demographics
NPI:1679021620
Name:THOMURE, MICHELLE (RN, HEALTH EDUCATOR)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:THOMURE
Suffix:
Gender:F
Credentials:RN, HEALTH EDUCATOR
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 582
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:WV
Mailing Address - Zip Code:24712-0582
Mailing Address - Country:US
Mailing Address - Phone:304-431-6255
Mailing Address - Fax:
Practice Address - Street 1:344 BIRDTOWN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LERONA
Practice Address - State:WV
Practice Address - Zip Code:25971-9396
Practice Address - Country:US
Practice Address - Phone:304-431-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator