Individual
MISS TASHRA SHANALE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1072, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-8786
Mailing address
3901 RAINBOW BLVD, MAIL STOP 1072, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-8786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75526-011
KS
Other
Enumeration date
05/15/2012
Last updated
03/28/2017
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