Peturah Ann Thompson CRNA

NPI 1003166786 - Registered Nurse - 163W00000X

NPI Details
NPI 1003166786
Gender Female
Enumeration Date 09/11/2012
Last Updated 09/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
111 E 210TH ST
BRONX NY, 10467-2401, US
Phone (718) 920-4187
Fax
Business Location
452 E 5TH ST
2ND FLR.
MOUNT VERNON NY, 10553-2008, US
Phone (267) 546-8419
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Pennsylvania
License Number RN539343
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According to our database, Ms. Peturah Ann Thompson CRNA NPI is 1003166786, taxonomy code is 163W00000X and license number is RN539343, license state is located at Pennsylvania. Peturah Ann Thompson CRNA physically located at 111 E 210th St, Bronx NY, 10467-2401. NPI Number Peturah Ann Thompson CRNA has the Individual type.

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1003166786 NPI number is provided on an as is basis without warranty of any kind. 1003166786 is maintained by the National Plan & Provider Enumeration System. The contents of Peturah Ann Thompson CRNA are for informational purposes only.