Provider Demographics
NPI:1972599488
Name:THOMAS, SHERLAN ANGELA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:SHERLAN
Middle Name:ANGELA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:132-386-0520
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:4308 ALTON RD STE 870
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4560
Practice Address - Country:US
Practice Address - Phone:305-538-1400
Practice Address - Fax:888-972-9651
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2024-05-06
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Provider Licenses
StateLicense IDTaxonomies
FL11012110363LF0000X
NYF331012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily