Provider Demographics
NPI:1992154835
Name:THOMAS, MICHELLE (ARNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9974 N KENDALL DR
Mailing Address - Street 2:APT# 1019
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1779
Mailing Address - Country:US
Mailing Address - Phone:305-342-0473
Mailing Address - Fax:
Practice Address - Street 1:9974 N KENDALL DR
Practice Address - Street 2:APT# 1019
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1779
Practice Address - Country:US
Practice Address - Phone:305-342-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9210079363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health