Provider Demographics
NPI:1285328039
Name:THORPE, MICHELE LYNN (APRN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:LYNN
Last Name:THORPE
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S LLOYD ST STE E201
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4509
Mailing Address - Country:US
Mailing Address - Phone:701-269-3662
Mailing Address - Fax:
Practice Address - Street 1:201 S LLOYD ST STE E201
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4509
Practice Address - Country:US
Practice Address - Phone:605-622-2545
Practice Address - Fax:605-622-2531
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR32587363LP0808X
SDCP002806363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health