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NPI Code Detail

MEDICARE: MS. SUE A THOMAS RN, NP

MEDICARE:  MS. SUE A THOMAS  RN, NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner6243CA

General Provider Information

NPI Number : 1275511354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUE A THOMAS RN, NP
Provider Business Mailing Address
First Line : 10786 N EAGLE CREST LN
Second Line :
City : FRESNO
State : CA
Zip : 93720-3594
Country : US
Telephone Number : 559-433-9307
Fax Number :
Provider Business Practice Location Address
First Line : 6730 N WEST AVE
Second Line : STE 115
City : FRESNO
State : CA
Zip : 93711-4301
Country : US
Telephone Number : 559-261-9320
Fax Number : 559-261-9324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 09/08/2014

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Directions to “ MS. SUE A THOMAS RN, NP” Practice Location

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