Provider Demographics
NPI:1235657149
Name:THOMAS, SNEHA VINOD PHILIP (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SNEHA
Middle Name:VINOD PHILIP
Last Name:THOMAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5559 HAWLEY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1856
Mailing Address - Country:US
Mailing Address - Phone:702-871-4434
Mailing Address - Fax:
Practice Address - Street 1:4550 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5525
Practice Address - Country:US
Practice Address - Phone:702-623-8810
Practice Address - Fax:702-667-6742
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN002650363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology