Individual
JUDY ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
705 HIGHWAY 446, NIXON, NV 89424
(775) 574-1018
(775) 574-1028
Mailing address
PO BOX 227, NIXON, NV 89424-0227
(775) 574-1018
(775) 574-1028
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
RN14868
NV
363L00000X
Nurse Practitioner
Primary
APN000701
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504556
—
NV
01
—
11937347
CAQH
—
Enumeration date
10/18/2006
Last updated
02/26/2013
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