Individual
NIRMALA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2131 DAVIDSONVILLE RD, CROFTON, MD 21114-1632
(410) 507-7617
Mailing address
8316 CANYON OAK DR, SEVERN, MD 21144-6811
(240) 463-0239
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R156644
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
09/05/2018
Last updated
08/08/2022
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