Individual
NICHOLE MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 2ND AVE, COON RAPIDS, IA 50058-1302
(712) 790-6425
Mailing address
316 2ND AVE, COON RAPIDS, IA 50058-1302
(712) 790-6425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155566
IA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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