Thornton, Amanda Gaye

Thornton, Amanda Gaye is an individual health care provider with primary practice located at 628 Hospital Dr Suite 2A, Mountain Home AR 72653-2953. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Thornton, Amanda Gaye can be contacted via phone (870) 425-7300.

Contact Information

Primary practice address
628 Hospital Dr Suite 2A Mountain Home AR 72653-2953
Phone: (870) 425-7300
Fax: (870) 425-4431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X A01864 Arkansas

Profile Details

NPI number 1992745012
LBN Legal business name Thornton, Amanda Gaye
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992745012 NPPES
Arkansas Other 5Y236 AR BCBS#
Arkansas MEDICAID 158290758 AR BCBS#

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