Thomason, Brenda

Thomason, Brenda is an individual health care provider with primary practice located at 3510 Magnolia Cv , Monroe LA 71203-2372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thomason, Brenda can be contacted via phone (318) 323-1100.

Contact Information

Primary practice address
3510 Magnolia Cv Monroe LA 71203-2372
Phone: (318) 323-1100
Fax: (318) 323-1161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Louisiana

Profile Details

NPI number 1003012287
LBN Legal business name Thomason, Brenda
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 19 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 1003012287 NPPES
Louisiana MEDICAID 1664821
Louisiana Other 1442399

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