Individual
MRS. MARIA D. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-507722-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
078139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023700680002
—
PA
01
—
104207
GEISINGER
PA
01
—
11945330
CAQH
PA
01
—
1585278
GATEWAY
PA
01
—
1985947
HIGHMARK
PA
01
—
2862751000
IBC
PA
01
—
50083136
CAPITAL ADVANTAGE
PA
01
—
9291495
AETNA
PA
Enumeration date
09/06/2007
Last updated
03/25/2013
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