MEDICARE: AMY C THOMAS ANP

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	363L00000X	Nurse Practitioner	RN163819	MA

General Provider Information

NPI Number	:	1235351677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY C THOMAS ANP

Provider Business Mailing Address
First Line	:	108 TURNER ST
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-3748
Country	:	US
Telephone Number	:	781-856-2912
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 KILBURN ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-7321
Country	:	US
Telephone Number	:	508-979-1122
Fax Number	:

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	01/29/2018

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