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Myranda Nicole Thomas
Nurse Practitioner in Carbondale, Illinois
NPI 1710676713

Myranda Nicole Thomas is a Nurse Practitioner based in Carbondale, IL. Myranda Nicole Thomas practices in Carbondale, IL. The NPI Number for Myranda Nicole Thomas is 1710676713 and holds a License No. 209026612 (Illinois).

The current practice location address for Myranda Nicole Thomas is 2601 W Main St, Carbondale, IL and can be reached out via phone at 618-549-5361 and via fax at 618-351-4878.

Location: 2601 W Main St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710676713
Provider Name
Myranda Nicole Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2601 W Main St, Carbondale, IL, 62902-3988
Phone Number
618-549-5361
Fax Number
618-351-4878
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-351-4878
person
Provider Business Mailing Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-351-4878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209026612 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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