Doctor Name: | ANGELA MICHELLE THOMAS |
NPI Number: | 1427474600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | AP60447552 |
Business Practice Address: | 711 E Collins Dr Goldendale, WA - 986209237 |
Business Phone Number: | 5097734017 |
Business Fax Number: | |
Mailing Address: | 711 E Collins Dr, GOLDENDALE |
State: | WA |
Postal Code: | 986209237 |
Phone Number: | 5097734017 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60447552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |