Individual
MS. SUSAN RENEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNS-BC
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
COA.11359-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051595
—
OH
Enumeration date
03/01/2010
Last updated
09/26/2011
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