Provider Demographics
NPI:1013340066
Name:WRANGHAM, THOMASINA MARIE (RN, MSN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:THOMASINA
Middle Name:MARIE
Last Name:WRANGHAM
Suffix:
Gender:F
Credentials:RN, MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6484 E 100 S
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-9608
Mailing Address - Country:US
Mailing Address - Phone:765-667-3411
Mailing Address - Fax:
Practice Address - Street 1:6484 E 100 S
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-9608
Practice Address - Country:US
Practice Address - Phone:765-667-3411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004621A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health