Individual
MRS. NANCY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0467
Mailing address
2355 CEDAR KEY DR, LAKE ORION, MI 48360-1821
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704190128
MI
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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