Provider Demographics
NPI:1629154943
Name:THOMAS, KARAN (RNFA)
Entity Type:Individual
Prefix:
First Name:KARAN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 WAHWAHTAYSEE TRL
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-1917
Mailing Address - Country:US
Mailing Address - Phone:609-953-8406
Mailing Address - Fax:
Practice Address - Street 1:138 WAHWAHTAYSEE TRL
Practice Address - Street 2:
Practice Address - City:MEDFORD LAKES
Practice Address - State:NJ
Practice Address - Zip Code:08055-1917
Practice Address - Country:US
Practice Address - Phone:609-953-8406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06783700163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0400071891OtherNJ BUSINESS ID NUMBER