Provider Demographics
NPI:1518853589
Name:THOMAS, CHRISTINA LEE (CNA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 TIBBETTS RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:ME
Mailing Address - Zip Code:04435-3422
Mailing Address - Country:US
Mailing Address - Phone:207-379-2237
Mailing Address - Fax:
Practice Address - Street 1:487 TIBBETTS RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:ME
Practice Address - Zip Code:04435-3422
Practice Address - Country:US
Practice Address - Phone:207-379-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty