Individual
ASHLEY LEAH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
500 GATEWAY DR, CLAYTON, NC 27520-2158
(919) 585-9001
(919) 488-1719
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
176967
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5003952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004699
—
NC
05
—
890115L
—
NC
Enumeration date
04/08/2008
Last updated
03/11/2014
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