Individual
MS. AMANDA M THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208 S BURLINGTON AVE STE 108, HASTINGS, NE 68901
(402) 463-6300
(402) 834-0665
Mailing address
208 S BURLINGTON AVE STE 108, HASTINGS, NE 68901-5943
(402) 463-6300
(402) 834-0665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110737
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248640
MIDLANDS CHOICE
NE
01
—
307062
CONVENTRY
NE
01
—
37907
BLUE CROSS BLUE SHIELD
NE
01
—
39385
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/14/2006
Last updated
07/18/2018
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