Provider Demographics
NPI:1548690498
Name:THORNHILL, ALICE (CRNP)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 LOWER STATE RD UNIT 110
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2622
Mailing Address - Country:US
Mailing Address - Phone:215-348-1310
Mailing Address - Fax:
Practice Address - Street 1:2003 LOWER STATE RD UNIT 110
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2622
Practice Address - Country:US
Practice Address - Phone:215-348-1310
Practice Address - Fax:215-348-8615
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013189363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1548690498Medicaid