Individual provider · Type 1 NPI
Bethany Jade Thomas, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1104242825
Active
Practice location
3400 Civic Center Blvd, 2nd Floor, South Pavilion
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP013652 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104242825
Bethany Jade Thomas, CRNP's National Provider Identifier is 1104242825, issued on Mar 6, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 14, 2017.