Individual provider · Type 1 NPI
Shiby Thomas
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1790331452
Active
Practice location
100 Nicolls Rd
Stony Brook, NY 11794-1252
Mailing address
20 Redwood Ln
Miller Place, NY 11764-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309366-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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- Jeanine Michelle Carnival, MS, RN, AGNP-C, CCRNAdult Health Nurse Practitioner Stony Brook, NY NPI 1033764006
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- Denise Rosina, ANPAdult Health Nurse Practitioner Stony Brook, NY NPI 1063519429
About NPI 1790331452
Shiby Thomas's National Provider Identifier is 1790331452, issued on Aug 16, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 19, 2021.