Maryann Dawn Thomas, ARNP | |
632 Broadway Ph 12, New York, NY 10012-2614 | |
(347) 294-3414 | |
Not Available |
Full Name | Maryann Dawn Thomas |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 632 Broadway Ph 12, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588048086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60578104 (Washington) | Primary |
Entity Name | Lewis County Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
Mailing Address | Practice Location Address |
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Maryann Dawn Thomas, ARNP 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 | Maryann Dawn Thomas, ARNP 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 |
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