Doctor Name: | VICKIE L. THOMAS |
NPI Number: | 1376630384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 5205P |
Business Practice Address: | 3450 Us Route 60 E Barboursville, WV - 255041609 |
Business Phone Number: | 3049556300 |
Business Fax Number: | 3047335903 |
Mailing Address: | Po Box 4100, BARBOURSVILLE |
State: | WV |
Postal Code: | 255044100 |
Phone Number: | 3049556200 |
Fax Number: | 3047335903 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 5205P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |