Individual
MARVA THOMAS
Active
Individual
MARVA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19219
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3064
—
SC
01
—
P01617602
RAILROAD MEDICARE
SC
01
—
P0L505947
RAILROAD MEDICARE
SC
Enumeration date
12/23/2014
Last updated
04/18/2016
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