MEDICARE: MS. NANCY S THOMASON

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1144524224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY S THOMASON

Provider Business Mailing Address
First Line	:	4600 LIL LN
Second Line	:	EDMOND
City	:	EDMOND
State	:	OK
Zip	:	73013-8584
Country	:	US
Telephone Number	:	405-843-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 W WILSHIRE BLVD
Second Line	:	SUITE 114
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7781
Country	:	US
Telephone Number	:	405-843-4673
Fax Number	:	405-843-4392

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

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	01/04/2011

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Directions to “ MS. NANCY S THOMASON ” Practice Location

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