Doctor Name: | AMBER THOMAS |
NPI Number: | 1144634593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA16003NP |
Business Practice Address: | 930 Dixie Hwy Rossford, OH - 434601333 |
Business Phone Number: | 4196666682 |
Business Fax Number: | 4196664340 |
Mailing Address: | 28555 Starbright Blvd Ste B, PERRYSBURG |
State: | OH |
Postal Code: | 435515662 |
Phone Number: | 4199313030 |
Fax Number: | 4199313048 |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA16003NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |