| NPI | 1356761498 |
|---|---|
| Former Name | MARCI LEIGH THAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7714660-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7714660-3102) |
| 163WG0000X Registered Nurse, General Practice (Licence: UT 7714660-3102) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-12-11 |