Most Relevant Information
Provider Data
| NPI Number: | 1003635921 |
| Provider Name: | IAN ANDREW THOMAS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10033676 |
Most Important Dates
| Enumeration Date: | 10/08/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
2460 NW STEWART PKWY STE 100
ROSEBURG
OR
97471
Practice Location Phone/Fax
| Phone: | 5412292663 |
| Fax: |
Provider Mailing Location
2460 NW STEWART PKWY STE 100
ROSEBURG
OR
97471
Provider Mailing Phone/Fax
| Phone: | 5412292663 |
| Fax: |