Individual provider · Type 1 NPI
Roberta Lynne Thomas, PhD, RN, NP
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1740528165
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Fax (616) 455-5370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704213427 (MI) |
| Nurse Practitioner | 363L00000X | 4704213427 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740528165
Roberta Lynne Thomas, PhD, RN, NP's National Provider Identifier is 1740528165, issued on Jan 18, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 18, 2013.