| Doctor Name: | MRS. CONSTANCE M THOMAS |
| NPI Number: | 1114121183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC WHNP |
| License Number: | 059262 |
| Business Practice Address: | Po Box N 107 Industrial Drive Park Hills, MO - 636010358 |
| Business Phone Number: | 5734315191 |
| Business Fax Number: | |
| Mailing Address: | 2016 Knob Lick Rd, FARMINGTON |
| State: | MO |
| Postal Code: | 636407522 |
| Phone Number: | 5737565610 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 059262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |