Individual
AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, APRN
Contact information
Practice address
575 S STATE ST, OREM, UT 84058-6303
(801) 225-2926
Mailing address
1055 N. 500 W. ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11208060-4405
UT
Other
Enumeration date
03/15/2023
Last updated
10/03/2023
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