Individual
DESTANEE THOMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
4438 S CLACK ST, ABILENE, TX 79606-3634
(325) 704-4470
Mailing address
1687 COUNTY ROAD 173, WINTERS, TX 79567-6609
(940) 886-6628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1190103
TX
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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