Provider Demographics
NPI:1508237264
Name:THORPE, JULIET (RN)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:THORPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:K
Other - Last Name:THORPE-BURTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17836 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-5829
Mailing Address - Country:US
Mailing Address - Phone:347-551-7569
Mailing Address - Fax:
Practice Address - Street 1:17836 130TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5829
Practice Address - Country:US
Practice Address - Phone:347-551-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY577413-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse