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NPI Code Detail

MEDICARE: MARY ANNE THOMAS APRN

MEDICARE: MARY ANNE THOMAS APRN
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
1363L00000XNurse Practitioner71001791AIN
2363L00000XNurse Practitioner3005374KY

General Provider Information

NPI Number : 1386683415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANNE THOMAS APRN
Provider Business Mailing Address
First Line : 452 OLD CORYDON RD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4645
Country : US
Telephone Number : 270-826-0200
Fax Number : 270-826-0212
Provider Business Practice Location Address
First Line : 452 OLD CORYDON RD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4645
Country : US
Telephone Number : 270-826-0200
Fax Number : 270-826-0212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 08/28/2013

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Directions to “ MARY ANNE THOMAS APRN” Practice Location

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