Tisha Thomas, LPN
Licensed Practical Nurse in Valley Cottage, NY. Individual provider (NPI-1).
NPI number1962073155
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1962073155
- Entity type
- Individual (NPI-1)
- Name
- Tisha Thomas
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 297833 | NY | Yes |
Practice location
706 Executive Blvd Ste DValley Cottage, NY 10989-2039
Phone 845-362-3904
Mailing address
706 Executive Blvd Ste DValley Cottage, NY 10989-2039
Phone 845-362-3904
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All 13 Licensed Practical Nurse providers in Valley Cottage · All 300 providers in Valley Cottage
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