Individual
MATTHEW ERIK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28208886A
IN
363L00000X
Nurse Practitioner
71010775A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010775A
IN
Other
Enumeration date
12/28/2020
Last updated
08/03/2023
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