Individual
MS. NICOLE-BERNICE MARIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8139 PENNINGTON DR, LAUREL, MD 20724-6120
(202) 705-2474
(202) 291-7018
Mailing address
8139 PENNINGTON DR, LAUREL, MD 20724-6120
(202) 705-2474
(202) 291-7018
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN 42355
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN42355
DISTRICT OF COLUMBA BOARD OF NURSING
DC
Enumeration date
07/12/2012
Last updated
07/12/2012
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