Provider Demographics
NPI:1861116477
Name:THOMAS, KIRSTEN SARAH (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:SARAH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:KIRSTEN
Other - Middle Name:SARAH
Other - Last Name:GARZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3637 MADISON WATCH WAY
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3681
Mailing Address - Country:US
Mailing Address - Phone:561-322-5967
Mailing Address - Fax:
Practice Address - Street 1:2120 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1440
Practice Address - Country:US
Practice Address - Phone:202-540-9857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1045313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily