Individual provider · Type 1 NPI

Amy Diana Thornley, ACNP-BC

Nurse Practitioner · Idaho Falls, ID

NPI number 1396097630 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Call (208) 589-6111 Map

Fax (208) 529-7021

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	NP-1158A (ID)
Nurse Practitioner Primary	363L00000X	NP-1158A (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396097630

Amy Diana Thornley, ACNP-BC's National Provider Identifier is 1396097630, issued on Oct 10, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 7, 2021.