Kamishia Latasha Thomas
Nurse Practitioner - Adult Health
1001 Blythe Blvd Suite 300- Adult Cardiology
Charlotte
, North Carolina 28203-5866
Kamishia Latasha Thomas
Nurse Practitioner - Adult Health
1001 Blythe Blvd Suite 300- Adult Cardiology
Charlotte
, North Carolina 28203-5866
(704) 373-1216
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Kamishia Latasha Thomas
- Po Box 601067
- Charlotte, NC
- Zip : 28260-1067
- Fax : (704) 373-1216
- Phone : (704) 373-0212
Second Address
- Kamishia Latasha Thomas
- 1001 Blythe Blvd Suite 300- Adult Cardiology
- Charlotte, NC
- Zip : 28203-5866
- Fax : (704) 373-1216
- Phone : (704) 373-0212
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Is Kamishia Latasha Thomas a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 5006446 | NC |
National Provider Identifier
| NPI | 1003241308 |
|---|---|
| Provider Name | Kamishia Latasha Thomas |
| First Address | Charlotte, NC 28260-1067 |
| Second Address | Charlotte, NC 28203-5866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2013 |
| Last Update Date | 04/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003241308 | (05) | NC |
| NP2568 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.