Provider Demographics
NPI:1699950170
Name:THOMAS, KAREN MARGARET (NP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGARET
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARGARET
Other - Last Name:BAIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:161 WASHINGTON ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2055
Mailing Address - Country:US
Mailing Address - Phone:484-351-3200
Mailing Address - Fax:
Practice Address - Street 1:161 WASHINGTON ST STE 1400
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2055
Practice Address - Country:US
Practice Address - Phone:484-351-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBCBSTXPVN#8Y3998OtherBCBSTX
TX8L11652Medicare PIN
TX8L11651Medicare PIN
TX8L11649Medicare PIN