Provider Demographics
NPI:1821390477
Name:THOMAS, BERNADETTE RENEE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:RENEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 ANNAND DR STE 17
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3719
Mailing Address - Country:US
Mailing Address - Phone:302-482-2289
Mailing Address - Fax:302-384-7026
Practice Address - Street 1:2601 ANNAND DR STE 17
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-482-2289
Practice Address - Fax:302-384-7026
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011051363LF0000X
MDAC000843363LF0000X
DELG-0000532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily