Individual
DR. ANITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP-BC, CWS
Contact information
Practice address
647 MAIN AVE STE 207, PASSAIC, NJ 07055-4962
(973) 735-1231
(973) 735-1232
Mailing address
172 HEBBERD AVE, PARAMUS, NJ 07652-4452
(201) 572-8136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00133100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232980
—
NJ
Enumeration date
08/17/2007
Last updated
02/22/2022
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