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Regina Thorp
Military Health Care Provider in Fort Rucker, Alabama
NPI 1588174403

Regina Thorp is a Military Health Care Provider based in Fort Rucker, AL. Regina Thorp practices in Fort Rucker, AL. The NPI Number for Regina Thorp is 1588174403 and holds a License No. AP61063188 (Alabama).

The current practice location address for Regina Thorp is 301 Andrews Ave, Fort Rucker, AL and can be reached out via phone at 800-261-7193.

Location: 301 Andrews Ave, Fort Rucker, AL, 36362-5333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588174403
Provider Name
Regina Thorp
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Andrews Ave, Fort Rucker, AL, 36362-5333
Phone Number
800-261-7193
Fax Number
Provider Enumeration Date
10/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Andrews Ave
City
Fort Rucker
State
Alabama
Zip
36362
Phone Number
800-261-7193
Fax Number
person
Provider Business Mailing Address Details
Address
301 Andrews Ave
City
Fort Rucker
State
Alabama
Zip
36362
Phone Number
800-261-7193
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
AP61063188 (Washington)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP61063188 (Washington)
Definition
Definition to come...
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