Provider Demographics
NPI:1730208000
Name:ABRIN, THAUNA AMBROSIA (ND)
Entity type:Individual
Prefix:DR
First Name:THAUNA
Middle Name:AMBROSIA
Last Name:ABRIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO BEND
Mailing Address - State:VT
Mailing Address - Zip Code:05842-0022
Mailing Address - Country:US
Mailing Address - Phone:802-472-9355
Mailing Address - Fax:855-823-0800
Practice Address - Street 1:132 S MAIN ST.
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05843-0028
Practice Address - Country:US
Practice Address - Phone:802-472-9355
Practice Address - Fax:855-823-0800
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0990082910175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1020704Medicaid