Myranda Nicole Thomas
NPI #1710676713 in Carbondale, Illinois
Provider Information
- NPI Number
- 1710676713
- Entity Type
- Individual
- Name
- Myranda Nicole Thomas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 4, 2023
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 2601 W MAIN ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1031
- Phone
- (618) 549-5361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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