MEDICARE: TONI HARAWAY THOMAS NP-C

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	363LA2200X	Adult Health Nurse Practitioner	AP132262	TX
2	363LA2200X	Adult Health Nurse Practitioner	0034387	OH
3	363LA2200X	Adult Health Nurse Practitioner	1-126361	AL
4	363LG0600X	Gerontology Nurse Practitioner	AP132262	TX
5	363LA2200X	Adult Health Nurse Practitioner	29072	TN

General Provider Information

NPI Number	:	1801347729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI HARAWAY THOMAS NP-C

Provider Business Mailing Address
First Line	:	400 VESTAVIA PKWY STE 406
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	256-964-2708
Fax Number	:	205-573-2000

Provider Business Practice Location Address
First Line	:	400 VESTAVIA PKWY STE 406
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	256-964-2708
Fax Number	:	205-573-2000

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

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/01/2025

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