Individual provider · Type 1 NPI

Susan Thomas

Nurse Practitioner · Philadelphia, PA

NPI number 1508105206 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Call (215) 707-8484 Map

Fax (215) 707-3946

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP012502 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508105206

Susan Thomas's National Provider Identifier is 1508105206, issued on Jan 31, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 6, 2017.