Organization
DEBORAH V THOMAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH V THOMAS ARNP (PRESIDENT)
(502) 897-0674
Entity
Organization
Contact information
Practice address
1600 N BUCKEYE LANE, GOSHEN, KY 40026-9708
(555) 555-5555
Mailing address
1600 N BUCKEYE LANE, GOSHEN, KY 40026-9708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2453S
KY
Other
Enumeration date
11/24/2010
Last updated
09/15/2011
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