Provider Demographics
NPI:1972848414
Name:THOMAS, DEVONDA YVETTE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DEVONDA
Middle Name:YVETTE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:DEVONDA
Other - Middle Name:YVETTE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:9050 CENTRE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4874
Mailing Address - Country:US
Mailing Address - Phone:180-086-1403
Mailing Address - Fax:513-603-6200
Practice Address - Street 1:9050 CENTRE POINTE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4874
Practice Address - Country:US
Practice Address - Phone:180-086-1403
Practice Address - Fax:513-603-6200
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13956-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily