MYRANDA NICOLE THOMAS

CARBONDALE, IL
NPI1710676713
Former NameMYRANDA COMPTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209026612)
Enumeration Date2023-05-04
Last Update Date2023-06-21
Business Address
MYRANDA NICOLE THOMAS
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
Mailing Address
MYRANDA NICOLE THOMAS
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200