Individual
VANESSA LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3455 MAIN ST STE C, SPRINGFIELD, MA 01107-1187
(413) 794-8484
Mailing address
354 BIRNIE AVENUE, BAYSTATE OB GYN GROUP INC 202, SPRINGFIELD, MA 01107
(413) 794-8484
(413) 787-5273
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN257033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110130007A
—
MA
Enumeration date
09/22/2017
Last updated
02/14/2018
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