Basic Information
| Provider Information | |||||||||
| NPI: | 1740419357 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 N. MOUNTAIN ST | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758833636 | ||||||||
| FaxNumber: | 7758822382 | ||||||||
| Practice Location | |||||||||
| Address1: | 1475 MEDICAL PKWY | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897034635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758833636 | ||||||||
| FaxNumber: | 7758822382 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2009 | ||||||||
| LastUpdateDate: | 05/27/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | APN001101 | NV | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.