| Mrs Maryann Moulder Thrasher, NP | |
|
4117 S. 240 W. Suite 200 Proactive Md., Newton County Gov/ Suite 200, Morroco, IN 47963 | |
| (219) 209-4400 | |
| (833) 525-2450 |
| Full Name | Mrs Maryann Moulder Thrasher |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Occupational Health |
| Location | 4117 S. 240 W. Suite 200 Proactive Md., Morroco, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871756189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP174775 (Georgia) | Secondary |
| 163WX0106X | Registered Nurse - Occupational Health | RN174775 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Maryann Moulder Thrasher, NP 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1271 Ph: (770) 793-7635 | Mrs Maryann Moulder Thrasher, NP 4117 S. 240 W. Suite 200 Proactive Md., Newton County Gov/ Suite 200, Morroco, IN 47963 Ph: (219) 209-4400 |