Doctor Name: | WENDI DIANE THOMAS |
NPI Number: | 1023132032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 503474 |
Business Practice Address: | 361 Third Street Suite E San Rafael, CA - 94901 |
Business Phone Number: | 4155074030 |
Business Fax Number: | |
Mailing Address: | 1425 Woodside Circle, PETALUMA |
State: | CA |
Postal Code: | 94595 |
Phone Number: | 7077782692 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 503474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |