Individual
TARA L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN56106
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP131046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP131046
LICENSE
ME
Enumeration date
06/25/2013
Last updated
02/23/2026
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