Individual
CONNIE MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
5309 W VILLAGE PKWY STE 3, ROGERS, AR 72758-8102
(479) 275-4152
(479) 227-6811
Mailing address
PO BOX 205, BENTONVILLE, AR 72712-0205
(618) 554-8730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023000802
MO
363L00000X
Nurse Practitioner
218965
AR
363LA2200X
Adult Health Nurse Practitioner
218965
AR
363LG0600X
Gerontology Nurse Practitioner
218965
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023000802
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218965
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294786758
—
AR
05
—
420119243
—
MO
Enumeration date
09/27/2022
Last updated
11/13/2025
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