Provider Demographics
NPI:1942347398
Name:THOMAS, NEATHERY BRIE (NP)
Entity Type:Individual
Prefix:
First Name:NEATHERY
Middle Name:BRIE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9411 N OAK TRFY
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2233
Mailing Address - Country:US
Mailing Address - Phone:816-436-7072
Mailing Address - Fax:816-436-2743
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-691-5232
Practice Address - Fax:816-346-7038
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2011-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS45954363L00000X
MO2011017384363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner