MEDICARE: FAITH MARIE THOMAS

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	163W00000X	Registered Nurse	112218913102	UT

General Provider Information

NPI Number	:	1851248553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH MARIE THOMAS

Provider Business Mailing Address
First Line	:	12633 GLEN ALPS RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99516-6966
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12633 GLEN ALPS RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99516-6966
Country	:	US
Telephone Number	:	907-602-7754
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ FAITH MARIE THOMAS ” Practice Location

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