Provider Demographics
NPI:1285184689
Name:THOMAS, KIMBERLY ANDREA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANDREA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:KIMBERLY
Other - Middle Name:ANDREA
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8005 SW 198TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2115
Mailing Address - Country:US
Mailing Address - Phone:813-442-0996
Mailing Address - Fax:
Practice Address - Street 1:8005 SW 198TH TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2115
Practice Address - Country:US
Practice Address - Phone:813-442-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295083363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health