Doctor Name: | MS. MARIA NICHOLE THOMAS |
NPI Number: | 1003858135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3408092 |
Business Practice Address: | 225 S Congress Ave Delray Beach, FL - 334454616 |
Business Phone Number: | 5612743100 |
Business Fax Number: | 5612743144 |
Mailing Address: | 225 S Congress Ave, DELRAY BEACH |
State: | FL |
Postal Code: | 334454616 |
Phone Number: | 5612743100 |
Fax Number: | 5612743144 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3408092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |