Individual
DESIREE MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
247 BROAD ST, MILFORD, CT 06460-3273
(203) 562-0223
Mailing address
263 BROADBRIDGE RD, TRUMBULL, CT 06611-5271
(203) 727-4997
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005694
CT
Other
Enumeration date
08/08/2017
Last updated
03/17/2018
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