Provider Demographics
NPI:1922060441
Name:THOMAS, MARY LAUDON (RN, MS, AOCN)
Entity Type:Individual
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First Name:MARY
Middle Name:LAUDON
Last Name:THOMAS
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Gender:F
Credentials:RN, MS, AOCN
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Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:111 HEM
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-0301
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:111 HEM
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-0301
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA286072364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology