Individual
DANIELLE NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
Mailing address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061926
PA
363AM0700X
Medical Physician Assistant
Primary
MA061926
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15881737
CAQH
—
Enumeration date
12/15/2022
Last updated
03/23/2023
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