Individual
HEATHER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8150 OAKLANDON RD STE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
(317) 621-1110
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011152A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q00344306
RAILROAD MEDICARE
IN
Enumeration date
07/01/2021
Last updated
10/12/2022
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