Individual
MARIAH NICHOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
830 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 226-5120
(580) 223-1003
Mailing address
33386 N COUNTY ROAD 3170, ELMORE CITY, OK 73433-9084
(580) 371-6922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F05220327
OK
Other
Enumeration date
04/09/2022
Last updated
08/14/2025
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