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 |
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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 |