Individual
SUSAN HANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1166
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51164
LPN
NC
Enumeration date
12/22/2006
Last updated
07/08/2007
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