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NPI Code Detail

MEDICARE: MRS. TAMMY H THOMAS RN

MEDICARE: MRS. TAMMY H THOMAS RN
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
1163WC1500XCommunity Health Registered NurseRN056946LA

General Provider Information

NPI Number : 1568943850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY H THOMAS RN
Provider Business Mailing Address
First Line : 5604 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3676
Country : US
Telephone Number : 318-487-5282
Fax Number :
Provider Business Practice Location Address
First Line : 5604 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3676
Country : US
Telephone Number : 318-487-5282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2018
Last Update Date : 08/24/2018

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