Individual
MRS. ELLENA MAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1818 AMHERST ST STE 101, WINCHESTER, VA 22601-2894
(540) 450-0072
(540) 450-0074
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205969128
—
VA
Enumeration date
03/13/2007
Last updated
03/06/2025
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