Individual
MICHELLE L THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
849 S THREE NOTCH ST, ANDALUSIA, AL 36420-5325
(334) 222-8466
(334) 222-9811
Mailing address
PO BOX 18824, GREENSBORO, NC 27419-8824
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-070424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079301
—
AL
01
—
051079301ONE
BCBS PROVIDER NUMBER
AL
Enumeration date
05/30/2006
Last updated
07/22/2013
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