MEDICARE: NEVAEH LEE 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	376K00000X	Nurse's Aide		OH

General Provider Information

NPI Number	:	1134011927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEVAEH LEE THOMAS

Provider Business Mailing Address
First Line	:	2584 WESTWOOD NORTHERN BLVD APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6132
Country	:	US
Telephone Number	:	859-320-2003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2584 WESTWOOD NORTHERN BLVD APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6132
Country	:	US
Telephone Number	:	859-320-2003
Fax Number	:	859-320-2003

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

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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