MEDICARE: BRITTANY 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	163W00000X	Registered Nurse	95250503	CA

General Provider Information

NPI Number	:	1275102261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY THOMAS

Provider Business Mailing Address
First Line	:	8746 DENT CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1406
Country	:	US
Telephone Number	:	858-880-6242
Fax Number	:

Provider Business Practice Location Address
First Line	:	8746 DENT CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1406
Country	:	US
Telephone Number	:	858-880-6242
Fax Number	:

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

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	06/23/2021

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