Individual
MS. ANDREA RAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125-4522
(314) 892-8352
Mailing address
5303 WIND ROSE DR, IMPERIAL, MO 63052-2190
(314) 882-7557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012041347
MO
363LF0000X
Family Nurse Practitioner
Primary
2021048768
MO
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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