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Nicole Renee Thomas, L.P.N.

Licensed Practical Nurse in Syracuse, NY. Individual provider (NPI-1).

NPI number1982881116
StatusActive
Last updated in NPPESJan 30, 2008

Details

NPI
1982881116
Entity type
Individual (NPI-1)
Name
Ms. Nicole Renee Thomas
Credential
L.P.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 30, 2008
Last updated
Jan 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse270438-1NYYes

Other names

  • Nicole Renee Thomas (Professional Name)

Practice location

145 Jaclyn Dr
Syracuse, NY 13205-3259

Phone 315-751-4674

Mailing address

145 Jaclyn Dr
Syracuse, NY 13205-3259

Phone 315-751-4674

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