Individual
ANDREA MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1930 BISHOP LN FL 12, LOUISVILLE, KY 40218
(502) 456-6200
(502) 456-6655
Mailing address
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY 40205-3224
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007644
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50062029
PASSPORT
KY
05
—
7100263770
—
KY
Enumeration date
10/12/2012
Last updated
06/05/2018
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