Healthcare Provider Details

I. General information

NPI: 1164581120
Provider Name (Legal Business Name): JANICE ANN THOMAS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PARKWAY ROSE HOSPITAL
DENVER CO
80220
US

IV. Provider business mailing address

4500 E HALE PARKWAY ROSE MEDICAL CENTER HOSPITAL
DENVER CO
80220
US

V. Phone/Fax

Practice location:
  • Phone: 303-332-0720
  • Fax: 303-320-2145
Mailing address:
  • Phone: 303-320-7200
  • Fax: 303-320-2145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number77226
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: