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NPI Code Detail

MEDICARE: MS. SHADONNA THOMAS RN

MEDICARE: MS. SHADONNA THOMAS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse2019012759MO

General Provider Information

NPI Number : 1144840729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHADONNA THOMAS RN
Provider Business Mailing Address
First Line : 8846 CRESCENT AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64138-4714
Country : US
Telephone Number : 904-521-0088
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 101ST TER STE 350
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-5310
Country : US
Telephone Number : 904-521-0088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 02/11/2021

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Directions to “ MS. SHADONNA THOMAS RN” Practice Location

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