Individual
PATRICIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1753 E ZION RD, FAYETTEVILLE, AR 72703-5020
(512) 571-3286
Mailing address
131 ALEXANDRA LOOP, ELKINS, AR 72727-3705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
921619574
AR
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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