# MRS. ANGELA BUCKLES THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912217902
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3006666 | KY | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 6666S | KY | — |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 03/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6666S | ARNP REGISTRATION NUMBER | KY |
| 05 | — | 7100270530 | — | KY |
