Individual
HOLLY THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 428-0118
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
HT168221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481055
—
MI
Enumeration date
04/14/2006
Last updated
07/08/2007
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