Individual
ADRIA FELICE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2900 STATE ST STE 101, MEDFORD, OR 97504-8458
(541) 789-5761
Mailing address
2900 STATE ST STE 101, MEDFORD, OR 97504-8458
(541) 789-5761
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
201506695RN
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
202001351NP-PP
OR
Other
Enumeration date
11/22/2018
Last updated
05/05/2020
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