Tennille Thomas
Licensed Practical Nurse in Middletown, NY. Individual provider (NPI-1).
NPI number1669979035
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1669979035
- Entity type
- Individual (NPI-1)
- Name
- Tennille Thomas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 308316 | NY | Yes |
Practice location
2 Davidge RdMiddletown, NY 10940-4642
Phone 347-445-8574
Mailing address
2 Davidge RdMiddletown, NY 10940-4642
Phone 347-445-8574
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