Provider Demographics
NPI:1548744816
Name:THOMAS, KRISTIE MICHELLE (DNP)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MICHELLE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 MOREWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3814
Mailing Address - Country:US
Mailing Address - Phone:412-268-2157
Mailing Address - Fax:412-268-6357
Practice Address - Street 1:1060 MOREWOOD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3814
Practice Address - Country:US
Practice Address - Phone:412-268-2157
Practice Address - Fax:412-268-6357
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018882363L00000X
PARN648871163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse