Individual
SARA J THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2255 PLATTE CLOVE RD, ELKA PARK, NY 12427-1014
(845) 481-7005
Mailing address
RTE 40 E, P O BOX 10, FARMINGTON, PA 15437-0010
(724) 329-8573
(724) 329-1230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
416216
NY
163W00000X
Registered Nurse
RN321822L
PA
367A00000X
Advanced Practice Midwife
Primary
MW010103
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101309251 0001
—
PA
01
—
MW010103
MIDWIFE LICENSE
PA
01
—
RN321822L
RN LICENSE
PA
Enumeration date
12/22/2005
Last updated
02/24/2023
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