| Angela Lavon Thornton, | |
|
39393 Van Dyke Ave, Sterling Heights, MI 48313-4635 | |
| (248) 910-6217 | |
| Not Available |
| Full Name | Angela Lavon Thornton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 39393 Van Dyke Ave, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740023936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704266725 (Michigan) | Primary |
| Entity Name | Visiting Wound Specialists & Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760268940 PECOS PAC ID: 9133578685 Enrollment ID: O20231211000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Lavon Thornton, 29601 Wharton Ct, Novi, MI 48377-2195 Ph: (248) 910-6217 | Angela Lavon Thornton, 39393 Van Dyke Ave, Sterling Heights, MI 48313-4635 Ph: (248) 910-6217 |
Daniel Raymond Braschayko, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37450 Dequindre Rd, Sterling Heights, MI 48310 Phone: 586-979-5100 | |
Krishna Patel, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2673 Avis Dr South, Sterling Heights, MI 48310 Phone: 586-275-4549 | |
Corinne Boak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35501 Mound Rd, Sterling Heights, MI 48310 Phone: 855-445-4554 | |
Ms. Mona Y Wissa, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8244 Metro Pkwy, Sterling Heights, MI 48312 Phone: 586-795-4060 Fax: 586-864-7567 | |
Mrs. Jean Wasilewski Terry, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43200 Dequindre Rd Ste 104, Sterling Heights, MI 48314 Phone: 586-799-4350 Fax: 586-799-4279 | |
Katerina Denkovska, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43303 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-739-8674 | |
Nina Blomberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44344 Dequindre Rd Ste 560, Sterling Heights, MI 48314 Phone: 586-731-6777 Fax: 248-731-0299 |