Most Relevant Information
Provider Data
| NPI Number: | 1003241308 |
| Provider Name: | KAMISHIA LATASHA THOMAS ANP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | LP-0010630 |
Most Important Dates
| Enumeration Date: | 09/05/2013 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
601 N CAROLINE STREET
BALTIMORE
MD
212643490
Practice Location Phone/Fax
| Phone: | 4439970270 |
| Fax: | 4106141168 |
Provider Mailing Location
6201 GREENLEIGH AVE
MIDDLE RIVER
MD
212202004
Provider Mailing Phone/Fax
| Phone: | 4109336423 |
| Fax: | 4105004266 |