Individual
LEANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
1054 S VENTURA AVE, SPRINGFIELD, MO 65804-0549
(417) 830-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018024008
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2023027062
MO
Other
Enumeration date
07/18/2022
Last updated
02/21/2024
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