Healthcare Provider Details

I. General information

NPI: 1518875970
Provider Name (Legal Business Name): CLARE THOMAS BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CASEY THOMAS BSN

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

10625 WILKINSON DR
SEAFORD DE
19973-7928
US

V. Phone/Fax

Practice location:
  • Phone: 401-546-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0071423
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: