Provider Demographics
NPI:1740174531
Name:THOMAS, TAMI
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37927 ROAD 719
Mailing Address - Street 2:
Mailing Address - City:CULBERTSON
Mailing Address - State:NE
Mailing Address - Zip Code:69024-7705
Mailing Address - Country:US
Mailing Address - Phone:308-340-6439
Mailing Address - Fax:
Practice Address - Street 1:37927 ROAD 719
Practice Address - Street 2:
Practice Address - City:CULBERTSON
Practice Address - State:NE
Practice Address - Zip Code:69024-7705
Practice Address - Country:US
Practice Address - Phone:308-340-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist