Individual
MRS. SIRI SMITH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(704) 384-6478
(704) 384-8182
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6478
(704) 384-8182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006622
NC
363LA2200X
Adult Health Nurse Practitioner
3723
SC
363LA2200X
Adult Health Nurse Practitioner
5006622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1701
—
SC
Enumeration date
04/20/2009
Last updated
11/02/2020
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