Individual
MARY KAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 45TH ST, WEST PALM BEACH, FL 33407-2413
(561) 840-3444
(561) 840-3490
Mailing address
903 45TH ST, WEST PALM BEACH, FL 33407-2413
(561) 840-3444
(561) 840-3490
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1540092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302999900
—
FL
01
—
G0490
BCBS
FL
Enumeration date
08/01/2006
Last updated
04/23/2013
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