Angela Lynn Thomason in Belleville - Nutrition, Pediatric

Angela Lynn Thomason - NPI 1760660823

Angela Lynn Thomason is a Nutrition, Pediatric in Belleville, Illinois. Angela Lynn Thomason practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Angela Lynn Thomason is 1760660823. The last update date is 2009-11-10.

Angela Lynn Thomason's current location address is 405 Polk St, Belleville, Illinois. You can contact this provider via phone number 6182390553. The mailing address for Angela Lynn Thomason is 405 Polk St, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Lynn Thomason
Address 405 Polk St, Belleville, Illinois
Phone Number 6182390553
Fax Number
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1760660823
Provider Enumeration Date 2008-01-31
Last Updated Date 2009-11-10

Provider Mailing Address Detail

Address 405 Polk St
City Belleville
State Illinois (IL)
Post Code 622202441
Phone Number 6182390553
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Pediatric
Taxonomy 133Vn1004X
Licence No 164.003677
Definition:
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn

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FAQs about Angela Lynn Thomason

What is the unique identifier code issued to Angela Lynn Thomason by the Centers for Medicare & Medicaid Services (CMS)?

The Angela Lynn Thomason has been assigned the NPI (National Provider Identifier) 1760660823. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Angela Lynn Thomason's physical address?

The Angela Lynn Thomason is physically located at 405 Polk St, in the city of Belleville, IL, with the postal code 622202441.

What is Angela Lynn Thomason's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Angela Lynn Thomason is Nutrition, Pediatric, and the taxonomy code that classifies this field of practice is 133Vn1004X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760660823 to Angela Lynn Thomason?

The Centers for Medicare & Medicaid Services originally issued the 1760660823 to Angela Lynn Thomason on 2008-01-31.

As of what date was the information pertaining to Angela Lynn Thomason, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Angela Lynn Thomason, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-10.

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