Individual provider · NPI-1
Andrea O Thomas, LPN
Licensed Practical Nurse · Wilmington, DE
NPI number1982010641
StatusActive
Last updated in NPPESJul 2, 2014
Details
- NPI
- 1982010641
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrea O Thomas
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2014
- Last updated
- Jul 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L2-0009882 | DE | Yes |
| 164W00000X | Licensed Practical Nurse | PN279336 | PA | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
1137 E 14th StWilmington, DE 19802-5211
Phone 302-507-9212
Mailing address
1137 E 14th StWilmington, DE 19802-5211
Phone 302-507-9212
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