Individual provider · Type 1 NPI

Shawnette Tabisa Latoya Thomas-Park, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1891634655 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Call (203) 709-6000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X06-0646844 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

47 other providers at this address

Other student in an organized health care education/training program providers in Waterbury

See all in Waterbury →

About NPI 1891634655

Shawnette Tabisa Latoya Thomas-Park, MD's National Provider Identifier is 1891634655, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Mar 26, 2026.