Provider Demographics
NPI:1932583481
Name:THOMAS, TANIA (CNM)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2948 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8652
Mailing Address - Country:US
Mailing Address - Phone:802-595-9495
Mailing Address - Fax:
Practice Address - Street 1:7 FARRELL ST
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6113
Practice Address - Country:US
Practice Address - Phone:802-864-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife