Individual
MRS. CAROL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
124 NW MIDLAND AVE, STE J, GRANTS PASS, OR 97526-1269
(541) 476-8859
(541) 955-8611
Mailing address
741 NE 6TH ST, GRANTS PASS, OR 97526-1556
(541) 471-2701
(541) 471-1166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
099007166
OR
363LW0102X
Women's Health Nurse Practitioner
099007166N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212874
—
OR
Enumeration date
07/21/2005
Last updated
05/18/2018
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