Individual
ANGELINA MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(314) 876-2585
Mailing address
2652 TWIN OAKS CT APT 52, DECATUR, IL 62526-5837
(314) 323-6646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
020955
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2021034481
MO
Other
Enumeration date
03/18/2020
Last updated
04/29/2026
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