Organization
NCC PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE C THOMAS NP (OWNER)
(712) 541-6620
Entity
Organization
Contact information
Practice address
16507 MAHOGANY AVE, LE MARS, IA 51031-8761
(712) 541-6620
(855) 344-1082
Mailing address
PO BOX 509, LE MARS, IA 51031-0509
(712) 541-6620
(855) 344-1082
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
04/11/2024
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