Provider Demographics
NPI:1326284027
Name:THOMAS, DELLA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DELLA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 HAMMACK RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-9465
Mailing Address - Country:US
Mailing Address - Phone:606-878-9431
Mailing Address - Fax:606-862-4003
Practice Address - Street 1:440 HAMMACK RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-9465
Practice Address - Country:US
Practice Address - Phone:606-878-9431
Practice Address - Fax:606-862-4003
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily