Provider Demographics
NPI:1508646894
Name:THOMAS, SANDHYA CHARLOTTE (FNP-C APRN)
Entity Type:Individual
Prefix:MRS
First Name:SANDHYA
Middle Name:CHARLOTTE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP-C APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6148 TENNYSON OAKS LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2756
Mailing Address - Country:US
Mailing Address - Phone:318-541-6636
Mailing Address - Fax:
Practice Address - Street 1:6148 TENNYSON OAKS LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2756
Practice Address - Country:US
Practice Address - Phone:318-541-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA232155363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner