Individual
BRANDEE THOMAS
Active
Individual
BRANDEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010119
VA
363AM0700X
Medical Physician Assistant
Primary
PA101970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110010119
PA LICENSE NUMBER
VA
Enumeration date
05/30/2024
Last updated
12/01/2025
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