Individual
MRS. PHYLLIS ELAINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNPC
Contact information
Practice address
12420 WARWICK BLVD, BUILDING 5, NEWPORT NEWS, VA 23606-3001
(757) 596-6369
Mailing address
11 POST OAK COURT, HAMPTON, VA 23666
(757) 596-6369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001142737
VA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
0024142737
VA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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