Provider Demographics
NPI:1700064508
Name:THOMAS, AMY LEANNE (FNP - C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEANNE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 101ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-4076
Mailing Address - Country:US
Mailing Address - Phone:806-771-0995
Mailing Address - Fax:806-687-5966
Practice Address - Street 1:3305 101ST ST STE 200
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-4076
Practice Address - Country:US
Practice Address - Phone:806-791-0043
Practice Address - Fax:806-687-5958
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX597186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily