Individual
DANIELLE M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11419 LITTLE ROCK CT, FISHERS, IN 46037-8448
(317) 507-6643
Mailing address
11419 LITTLE ROCK CT, FISHERS, IN 46037-8448
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
28156155A
IN
163WH0200X
Home Health Registered Nurse
Primary
28156155A
IN
163WP0200X
Pediatric Registered Nurse
28156155A
IN
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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