Mrs. Tamara Kay Thorn
Nurse Practitioner - Primary Care Nurse Practitioner - Psychiatric/Mental Health
5348 Lamme Rd
Moraine
, Ohio 45439-3215
Mrs. Tamara Kay Thorn
Nurse Practitioner - Primary Care Nurse Practitioner - Psychiatric/Mental Health
5348 Lamme Rd
Moraine
, Ohio 45439-3215
(937) 762-1310
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Tamara Kay Thorn
- 1 Prestige Pl Ste 550
- Miamisburg, OH
- Zip : 45342-6115
- Phone : (937) 762-1310
Second Address
- Mrs. Tamara Kay Thorn
- 5348 Lamme Rd
- Moraine, OH
- Zip : 45439-3215
- Fax : (937) 522-8799
- Phone : (937) 534-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.12381 | OH |
| N | 363LP2300X | Nurse Practitioner - Primary Care | COA,12381-NP | OH |
National Provider Identifier
| NPI | 1053606152 |
|---|---|
| Provider Name | Mrs. Tamara Kay Thorn |
| First Address | Miamisburg, OH 45342-6115 |
| Second Address | Moraine, OH 45439-3215 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2011 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0051257 | (05) | OH |
| H013688 | MEDICARE - OHIO (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.