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Individual

MRS. NANCY L THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2301 SPRINGHILL RD STE 200, BRYANT, AR 72019-7566
(501) 315-0078
(501) 943-3016
Mailing address
2301 SPRINGHILL RD STE 200, BRYANT, AR 72019-7566
(501) 315-0078
(501) 943-3016

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A01320
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801102702
AR
Enumeration date
08/30/2010
Last updated
12/03/2012
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