Provider Demographics
NPI:1194241851
Name:THOMAS, ERIN (BSN, RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CARIBOU WAY
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-2561
Mailing Address - Country:US
Mailing Address - Phone:757-927-1290
Mailing Address - Fax:
Practice Address - Street 1:6 JOHN H CHAFEE BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-1034
Practice Address - Country:US
Practice Address - Phone:401-848-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN55737163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator