Provider Demographics
NPI:1730400300
Name:TOMAS, PAUL JONATHAN (NNP-BC, CPNP-PC&AC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:JONATHAN
Last Name:TOMAS
Suffix:
Gender:M
Credentials:NNP-BC, CPNP-PC&AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 POINT FOSDICK DRIVE NW
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1775
Mailing Address - Country:US
Mailing Address - Phone:253-400-0218
Mailing Address - Fax:253-500-0218
Practice Address - Street 1:4700 POINT FOSDICK DR STE 208
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1775
Practice Address - Country:US
Practice Address - Phone:253-400-0218
Practice Address - Fax:253-500-0218
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61356690363LP0200X, 363LP0200X
TX793856, RX 10295363LN0005X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics