Individual provider · Type 1 NPI
Shibi Thomas, NP
Primary Care Nurse Practitioner · Detroit, MI
NPI number
1679090179
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704262481 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704262481 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1679090179
Shibi Thomas, NP's National Provider Identifier is 1679090179, issued on Aug 24, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Sep 11, 2023.