Provider Demographics
NPI:1437794286
Name:THORN, WENDY JO (DNP ARNP FNP-C)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:JO
Last Name:THORN
Suffix:
Gender:F
Credentials:DNP ARNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17526 STATE ROUTE 302 NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98329-5672
Mailing Address - Country:US
Mailing Address - Phone:253-392-5541
Mailing Address - Fax:
Practice Address - Street 1:17526 STATE ROUTE 302 NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98329-5672
Practice Address - Country:US
Practice Address - Phone:253-392-5541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60269534163W00000X
WA61188657363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse