Thomas, William Wayne

Thomas, William Wayne is an individual health care provider with primary practice located at 9520 Bonita Beach Rd Se , Bonita Springs FL 34135-4517. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Thomas, William Wayne can be contacted via phone (239) 319-2195.

Contact Information

Primary practice address
9520 Bonita Beach Rd Se Bonita Springs FL 34135-4517
Phone: (239) 319-2195
Fax: (239) 319-2194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000948 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3013324 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.019260 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11027868 Florida

Profile Details

NPI number 1801358163
LBN Legal business name Thomas, William Wayne
Credentials APRN-FPA, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated Jan 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801358163 NPPES
Illinois Other 214881 MULTI SPECIALTY PTAN
Illinois MEDICAID 209.019260 MULTI SPECIALTY PTAN

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