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NPI Code Detail

MEDICARE: MS. ADRIENNE NICHOLE THOMAS RN

MEDICARE: MS. ADRIENNE NICHOLE 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 Nurse28265815AIN

General Provider Information

NPI Number : 1942877741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADRIENNE NICHOLE THOMAS RN
Provider Business Mailing Address
First Line : 2911 GREEN VALLEY RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4316
Country : US
Telephone Number : 812-941-9893
Fax Number : 812-941-9896
Provider Business Practice Location Address
First Line : 2911 GREEN VALLEY RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4316
Country : US
Telephone Number : 812-941-9893
Fax Number : 812-941-9896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 06/09/2021

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