Individual
CHANEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
Mailing address
415 SMEE RD, MIDDLETOWN, DE 19709-9939
(302) 399-9725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0046671
DE
363L00000X
Nurse Practitioner
AC007436
MD
363L00000X
Nurse Practitioner
LG-0013041
DE
363LF0000X
Family Nurse Practitioner
AC007436
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0013041
DE
Other
Enumeration date
12/04/2024
Last updated
03/13/2025
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