Lisbeth Caroline Thornley, CRNP

Individual provider Active NPI Family Nurse Practitioner · Sumiton, AL

NPI 1962655092 · NPPES record last updated Nov 3, 2008

Key facts

NPI
1962655092
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-104066 (AL)
Practice address
497 Main St
Sumiton, AL 35148-4328
Phone
(205) 648-7887
Fax
(205) 648-5115
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-104066ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horse Creek Family Medicine, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-104066 AL Yes

Addresses

Primary practice location

497 Main St
Sumiton, AL 35148-4328

Mailing address

PO Box 366
Dora, AL 35062-0366
Phone (205) 648-7887

Other providers in Sumiton, AL

All providers in Sumiton, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.