Individual
PAIGE H THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
(262) 948-5735
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 948-5600
(262) 948-5735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10590
WI
363LF0000X
Family Nurse Practitioner
10590-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184672
—
WI
Enumeration date
12/01/2020
Last updated
11/30/2021
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