Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | RN278935 | MA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN00547 | RI |
NPI | 1063747053 |
---|---|
Provider Name | Valorie Thomas |
First Address | Warwick, RI 02886-1360 |
Second Address | Warwick, RI 02886-1360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2009 |
Last Update Date | 05/04/2021 |