Provider Demographics
NPI:1255178281
Name:THORMANN, CELINE
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:
Last Name:THORMANN
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 1:503 WEXFORD CT
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-9059
Mailing Address - Country:US
Mailing Address - Phone:317-850-5132
Mailing Address - Fax:
Practice Address - Street 1:503 WEXFORD CT
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-9059
Practice Address - Country:US
Practice Address - Phone:317-850-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program