MEDICARE: BJARNI L THOMAS CNM, MS

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
1	367A00000X	Advanced Practice Midwife	CNM82078	ME
2	367A00000X	Advanced Practice Midwife	MW010455	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1164609400	OTHER	ME	NPI

General Provider Information

NPI Number	:	1164609400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BJARNI L THOMAS CNM, MS

Provider Business Mailing Address
First Line	:	89 MAIN ST STE B
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-1200
Country	:	US
Telephone Number	:	207-255-0014
Fax Number	:	207-255-0015

Provider Business Practice Location Address
First Line	:	89 MAIN ST STE B
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-1200
Country	:	US
Telephone Number	:	207-255-0014
Fax Number	:	207-255-0015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	06/29/2023

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