MEDICARE: NATALYA 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-CMP1213980	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN254363	GA

General Provider Information

NPI Number	:	1568948339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALYA THOMAS APRN

Provider Business Mailing Address
First Line	:	395 SAWDUST RD
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2242
Country	:	US
Telephone Number	:	832-819-8249
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 SAWDUST RD
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2242
Country	:	US
Telephone Number	:	832-819-8249
Fax Number	:	832-747-7148

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

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	11/18/2025

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