Individual
KATRINA M THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 N HANOVER ST, CARLISLE, PA 17013-2421
(717) 960-4325
(717) 960-4373
Mailing address
100 N HANOVER ST, CARLISLE, PA 17013-2421
(717) 960-4325
(717) 960-4373
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009773
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP009773
MEDICAL LICENSE
PA
Enumeration date
10/02/2008
Last updated
10/20/2011
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