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NPI Code Detail

MEDICARE: REBECCA THOMAS N.P.

MEDICARE: REBECCA THOMAS N.P.
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
1367500000XCertified Registered Nurse AnesthetistCOA.01278-NAOH
2367500000XCertified Registered Nurse Anesthetist4704291908MI

General Provider Information

NPI Number : 1942200993
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA THOMAS N.P.
Provider Business Mailing Address
First Line : 1400 MERCY DR STE 100
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1833
Country : US
Telephone Number : 231-733-1326
Fax Number : 231-733-5212
Provider Business Practice Location Address
First Line : 1400 MERCY DR STE 100
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1833
Country : US
Telephone Number : 231-733-1326
Fax Number : 231-733-5212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 12/28/2023

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Directions to “ REBECCA THOMAS N.P.” Practice Location

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