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Individual
SUSAN THOMAS
Active
Individual
SUSAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN99178
NV
363L00000X
Nurse Practitioner
Primary
95029081
CA
363LF0000X
Family Nurse Practitioner
861919
NV
Other
Enumeration date
12/13/2022
Last updated
07/02/2024
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