Individual provider · Type 1 NPI

Tina Thomas, CRNP

Pediatric Nurse Practitioner · Frederick, MD

NPI number 1043757156 Active

Practice location

1475 Taney Ave
Frederick, MD 21702-4747

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR225035 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043757156

Tina Thomas, CRNP's National Provider Identifier is 1043757156, issued on Jan 26, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Frederick, MD. The record was last updated on Jan 26, 2017.