Provider Demographics
NPI:1750197240
Name:THORNTON, JOYCE ELAINE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELAINE
Last Name:THORNTON
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 1:813 W 3RD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1786
Mailing Address - Country:US
Mailing Address - Phone:402-322-0400
Mailing Address - Fax:
Practice Address - Street 1:813 W 3RD ST APT 3
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-1786
Practice Address - Country:US
Practice Address - Phone:402-322-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider