MEDICARE: TEMPRY 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	163W00000X	Registered Nurse	0001251901	VA

General Provider Information

NPI Number	:	1750039582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMPRY THOMAS

Provider Business Mailing Address
First Line	:	4238 FRANKLIN PIKE SE
Second Line	:
City	:	FLOYD
State	:	VA
Zip	:	24091-2754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4238 FRANKLIN PIKE SE
Second Line	:
City	:	FLOYD
State	:	VA
Zip	:	24091-2754
Country	:	US
Telephone Number	:	540-392-5501
Fax Number	:

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

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/10/2022

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Directions to “ TEMPRY THOMAS ” Practice Location

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