MEDICARE: ANDREA THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1871340091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA THOMAS

Provider Business Mailing Address
First Line	:	7601 JULER AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-1907
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9203 TERWILLIGERS WOOD CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2754
Country	:	US
Telephone Number	:	513-293-6762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/06/2024

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Directions to “ ANDREA THOMAS ” Practice Location

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