Individual
JULIE ANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1547 MIDWAY AVE, AMMON, ID 83406-6912
(208) 497-0429
Mailing address
1855 JEAN ST, POCATELLO, ID 83201-2558
(208) 220-2142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6671596
ID
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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