Provider Demographics
NPI:1801318993
Name:THOMAS, ANDREA K (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:K
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:176 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2513
Mailing Address - Country:US
Mailing Address - Phone:215-256-9531
Mailing Address - Fax:215-256-9134
Practice Address - Street 1:176 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2513
Practice Address - Country:US
Practice Address - Phone:215-256-9531
Practice Address - Fax:215-256-9134
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA059132363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical