Individual provider · Type 1 NPI
Angel Deshawn Thomas, FNP-BC
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1063181360
Active
Practice location
6928 Cherbourg Dr
Fort Wayne, IN 46835-9364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71011732A (IN) |
| Registered Nurse | 163W00000X | 28224831A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063181360
Angel Deshawn Thomas, FNP-BC's National Provider Identifier is 1063181360, issued on Sep 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 10, 2021.