Individual
MISTY DANIELE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
590 MEDICAL PARK DR, MARSHALL, NC 28753-6807
(828) 649-3500
Mailing address
2777 POSSUM TROT RD, BURNSVILLE, NC 28714-5749
(828) 284-3094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016669
NC
Other
Enumeration date
08/11/2022
Last updated
08/18/2022
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