Thornley, Amy Diana
Thornley, Amy Diana is an sole proprietor health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thornley, Amy Diana can be contacted via phone (208) 589-6111.Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 589-6111
Fax: (208) 529-7021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | NP-1158A | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-1158A | Idaho |
Profile Details
| NPI number | 1396097630 |
|---|---|
| LBN Legal business name | Thornley, Amy Diana |
| Credentials | ACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2012 |
| Last updated | Jun 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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