Thompson, Terris M

Thompson, Terris M is an individual health care provider with primary practice located at 167 N. Main , Tuba City AZ 86045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thompson, Terris M can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 N. Main Tuba City AZ 86045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 242142BNE Texas

Profile Details

NPI number 1649252909
LBN Legal business name Thompson, Terris M
Credentials MSN,WHCNP-BC FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 16th, 2013 - about 13 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1649252909 NPPES
Texas MEDICAID 0708570

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