Individual
MRS. COURTNEY LOPER THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Mailing address
3536 BROTHERTON RD, CINCINNATI, OH 45209-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1132712
KY
163W00000X
Registered Nurse
333058
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
104270
OH
Other
Enumeration date
11/10/2014
Last updated
01/15/2015
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