| Doctor Name: | MARYANN DAWN THOMAS |
| NPI Number: | 1588048086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP60578104W |
| Business Practice Address: | 615 Cemetery Rd Winlock, WA - 985969303 |
| Business Phone Number: | 3607859400 |
| Business Fax Number: | |
| Mailing Address: | 2690 Ne Kresky Ave, CHEHALIS |
| State: | WA |
| Postal Code: | 985322412 |
| Phone Number: | 3607859400 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2015 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP60578104W |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |