Thompson, Maryconnor Tacy

Thompson, Maryconnor Tacy is an sole proprietor health care provider with primary practice located at 3825 Wolverine St Ne , Salem OR 97305-1201. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Thompson, Maryconnor Tacy can be contacted via phone (888) 875-7820.

Contact Information

Primary practice address
3825 Wolverine St Ne Salem OR 97305-1201
Phone: (888) 875-7820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN287283 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 10025826 Oregon

Profile Details

NPI number 1083321285
LBN Legal business name Thompson, Maryconnor Tacy
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2022
Last updated Apr 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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