Individual provider · Type 1 NPI

Ethan Lee Thomas, FNP-C

Family Nurse Practitioner · Grand Forks, ND

NPI number 1063017432 Active

Practice location

4440 S. Washington St.
Grand Forks, ND 58201

Mailing address

2401 Demers Ave
Grand Forks, ND 58201

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR40656 (ND)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1063017432

Ethan Lee Thomas, FNP-C's National Provider Identifier is 1063017432, issued on Dec 2, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 5, 2021.