Provider Demographics
NPI:1750048435
Name:THORNHILL, PATRICIA VENUS-MARIA
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:VENUS-MARIA
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 CADWALADER AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1621
Mailing Address - Country:US
Mailing Address - Phone:267-702-7324
Mailing Address - Fax:
Practice Address - Street 1:362 CADWALADER AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1621
Practice Address - Country:US
Practice Address - Phone:267-702-7324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN291491164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse