MEDICARE: KASHENA BRIGITTE THOMAS CNP

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	164W00000X	Licensed Practical Nurse	PN 125960	OH
2	363LF0000X	Family Nurse Practitioner	0027382	OH

General Provider Information

NPI Number	:	1134307838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASHENA BRIGITTE THOMAS CNP

Provider Business Mailing Address
First Line	:	458 E 272ND ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-1730
Country	:	US
Telephone Number	:	216-965-5403
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 W. 6 STREET
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113
Country	:	US
Telephone Number	:	216-254-4196
Fax Number	:

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

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	05/13/2026

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