Individual
MS. SHAUNTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
14961 W BELL RD, STE 175, SURPRISE, AZ 85374-3220
(623) 547-7205
(623) 249-5181
Mailing address
14961 W BELL RD, STE 175, SURPRISE, AZ 85374-3220
(623) 547-7205
(623) 249-5181
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
19054
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN189894
AZ
Other
Enumeration date
01/15/2015
Last updated
04/04/2016
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