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Dr. Thomas George JR., DNP,CRNP,FNP-C
Family Nurse Practitioner in Shelley, Idaho
NPI 1417338930

Thomas George JR. is a Family Nurse Practitioner based in Shelley, ID and is specialized in Family. Thomas George JR. practices in Shelley, ID and has the professional credentials of DNP,CRNP,FNP-C. The NPI Number for Thomas George JR. is 1417338930 and holds a License No. R216085 (Idaho).

The current practice location address for Thomas George JR. is 555 W Oak St Ste 2, Shelley, ID and can be reached out via phone at 240-308-1771.

Location: 555 W Oak St Ste 2, Shelley, ID, 83274-1161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417338930
Provider Name
Thomas George JR.
Credential
DNP,CRNP,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
555 W Oak St Ste 2, Shelley, ID, 83274-1161
Phone Number
240-308-1771
Fax Number
Provider Enumeration Date
06/10/2015
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926580503 05 MD
institution
Provider Business Practice Location Address Details
Address
555 W Oak St Ste 2
City
Shelley
State
Idaho
Zip
83274-1161
Phone Number
240-308-1771
Fax Number
person
Provider Business Mailing Address Details
Address
555 W Oak St Ste 2
City
Shelley
State
Idaho
Zip
83274-1161
Phone Number
240-308-1771
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
R216085 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R216085 (Maryland)
Definition
Definition to come...
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