Provider Demographics
NPI:1821739574
Name:THOMAS, BRESSY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:BRESSY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11271 CREEK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-6209
Mailing Address - Country:US
Mailing Address - Phone:813-812-0988
Mailing Address - Fax:
Practice Address - Street 1:1 TAMPA GENERAL CIRCLE
Practice Address - Street 2:TAMPA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3360
Practice Address - Country:US
Practice Address - Phone:813-844-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013045363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care