Most Relevant Information
Provider Data
| NPI Number: | 1003012287 |
| Provider Name: | BRENDA THOMASON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3510 MAGNOLIA CV
MONROE
LA
712032372
Practice Location Phone/Fax
| Phone: | 3183231100 |
| Fax: | 3183231161 |
Provider Mailing Location
3801 DEBORAH DR
MONROE
LA
712012111
Provider Mailing Phone/Fax
| Phone: | 3183235688 |
| Fax: |