Provider Demographics
NPI:1427370162
Name:THOMAS-EDWARDS, HERMIA MURSLINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:HERMIA
Middle Name:MURSLINE
Last Name:THOMAS-EDWARDS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 TROY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2030
Mailing Address - Country:US
Mailing Address - Phone:347-891-1059
Mailing Address - Fax:347-702-6234
Practice Address - Street 1:1786 TROY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2030
Practice Address - Country:US
Practice Address - Phone:347-891-1059
Practice Address - Fax:347-702-6234
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179589-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health