Individual
MARCY LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11333 COUNTY ROAD 2, MIDDLEBURY, IN 46540-9632
(574) 825-8000
(574) 260-9580
Mailing address
11333 COUNTY ROAD 2, MIDDLEBURY, IN 46540-9632
(574) 825-8000
(574) 260-9580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003934A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003934A
IN
363LX0106X
Occupational Health Nurse Practitioner
71003934A
IN
Other
Enumeration date
04/16/2012
Last updated
08/16/2022
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