| Doctor Name: | MRS. NICOLE THOMAS |
| NPI Number: | 1134533599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | G128988 |
| Business Practice Address: | 180 10th St Se Ste 201 Le Mars, IA - 510312557 |
| Business Phone Number: | 7125464624 |
| Business Fax Number: | |
| Mailing Address: | 180 10th St Se Ste 201, Po Box 70 LE MARS |
| State: | IA |
| Postal Code: | 510312557 |
| Phone Number: | 7125464624 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2014 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | G128988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |