Individual
BREANNA PAIGE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4121
Mailing address
1218 E ORCHARD LN, CARLSBAD, NM 88220-9224
(620) 243-3274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
77955
NM
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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