Provider Demographics
NPI:1588760334
Name:THORNTON, SARAH A (APN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:A
Last Name:THORNTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3035 NUTTER CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-8379
Mailing Address - Country:US
Mailing Address - Phone:501-450-9162
Mailing Address - Fax:501-450-5560
Practice Address - Street 1:201 DONAGHEY AVE
Practice Address - Street 2:DHSC 226 J
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72035-5001
Practice Address - Country:US
Practice Address - Phone:501-450-3119
Practice Address - Fax:501-450-5560
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARAO1328363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology