Vicky Thompson

NPI 1053715045 - Nurse Practitioner - 363LX0106X

NPI Details
NPI 1053715045
Gender Female
Enumeration Date 10/20/2014
Last Updated 01/05/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
3443 W 3RD ST
BLOOMINGTON IN, 47404-4851, US
Phone (812) 353-3443
Fax
Business Location
3443 W 3RD ST
BLOOMINGTON IN, 47404-4851, US
Phone (812) 353-3443
Fax
Toxanomy
Taxonomy Code 363LX0106X
License State Indiana
License Number 71005246A
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According to our database, Vicky Thompson NPI is 1053715045, taxonomy code is 363LX0106X and license number is 71005246A, license state is located at Indiana. Vicky Thompson physically located at 3443 W 3rd St, Bloomington IN, 47404-4851. NPI Number Vicky Thompson has the Individual type.

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1053715045 NPI number is provided on an as is basis without warranty of any kind. 1053715045 is maintained by the National Plan & Provider Enumeration System. The contents of Vicky Thompson are for informational purposes only.