Samantha Thomas, FNP-BC Valid NPI
Individual provider · Nurse Practitioner · Gillespie, IL
- NPI
- 1447789169
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 209417465 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-06-06
- Last updated
- 2022-03-30
Practice location
109 E Maple St
Gillespie, IL 62033-1473
(217) 839-1526