Individual
BETSY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CCRN, AGACNP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-3045
Mailing address
409 CANTERBURY CIR, CANTON, MI 48187-3801
(734) 560-2729
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704264664
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704264664
MI
363LA2100X
Acute Care Nurse Practitioner
4704264664NSA200EK
MI
Other
Enumeration date
05/02/2020
Last updated
01/29/2021
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