Individual
MS. SHAWNEE LAKAI THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11315 PEMBROOKE SQ STE 111, WALDORF, MD 20603
(240) 252-2150
(240) 252-2150
Mailing address
1068 DORSET DR, WALDORF, MD 20602-1909
(301) 932-9065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R181123
MD
363LF0000X
Family Nurse Practitioner
Primary
R181123
MD
Other
Enumeration date
11/08/2017
Last updated
11/20/2024
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