Jonathas, Thamara Vanessa

Jonathas, Thamara Vanessa is an individual health care provider with primary practice located at 140 N Frontage Rd , Mansfield Center CT 06250-1648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jonathas, Thamara Vanessa can be contacted via phone (860) 456-2261.

Contact Information

Primary practice address
140 N Frontage Rd Mansfield Center CT 06250-1648
Phone: (860) 456-2261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7176 Connecticut

Profile Details

NPI number 1750894275
LBN Legal business name Jonathas, Thamara Vanessa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Mar 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750894275 NPPES
Connecticut MEDICAID 008085479

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