Provider Demographics
NPI:1770133472
Name:THOMAS, AMBER ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ELIZABETH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CRYSTAL A DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9524
Mailing Address - Country:US
Mailing Address - Phone:833-774-2676
Mailing Address - Fax:717-312-3182
Practice Address - Street 1:100 CRYSTAL A DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9524
Practice Address - Country:US
Practice Address - Phone:833-774-2676
Practice Address - Fax:717-312-3182
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020795363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner