Summer Nicole Thompson in Phoenix - Surgical

Summer Nicole Thompson - NPI 1760563399

Summer Nicole Thompson is a Surgical in Phoenix, Arizona. Summer Nicole Thompson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Summer Nicole Thompson is 1760563399. The last update date is 2016-10-07.

Summer Nicole Thompson's current location address is 18444 N 25th Ave, Phoenix, Arizona. You can contact this provider via phone number 8669742673 and fax number 8669392673. The mailing address for Summer Nicole Thompson is 18444 N 25th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Summer Nicole Thompson
Address 18444 N 25th Ave, Phoenix, Arizona
Phone Number 8669742673
Fax Number 8669392673
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1760563399
Provider Enumeration Date 2006-10-18
Last Updated Date 2016-10-07

Provider Mailing Address Detail

Address 18444 N 25th Ave
City Phoenix
State Arizona (AZ)
Post Code 850231261
Phone Number 8669742673
Fax Number 8669392673

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 3514
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5550830003 AZ MEDICARE NSC PEORIA
5550830010 AZ MEDICARE NSC GILBERT
5550830009 AZ MEDICARE NSC AZ NORTH
5550830001 AZ MEDICARE NSC SCW
5550830008 AZ MEDICARE NSC SWV
5550830004 AZ MEDICARE NSC PV
143978 AZ --
5550830006 AZ MEDICARE NSC ANTHEM
5550830007 AZ MEDICARE NSC DV

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FAQs about Summer Nicole Thompson

What is the Summer Nicole Thompson's unique identification number?

The Summer Nicole Thompson has been assigned the NPI (National Provider Identifier) Number 1760563399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Summer Nicole Thompson?

The Summer Nicole Thompson is physically situated at 18444 N 25Th Ave, in the city of Phoenix, state of AZ, with the postal code 850231261.

What is the Summer Nicole Thompson's area of specialization and corresponding taxonomy classification?

The Summer Nicole Thompson's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date did the Summer Nicole Thompson receive the assignment of its 1760563399 from the Centers for Medicare & Medicaid Services?

The Summer Nicole Thompson was issued its 1760563399 by the Centers for Medicare & Medicaid Services on 2006-10-18.

As of what date were the details related to Summer Nicole Thompson most recently updated or revised?

The information pertaining to Summer Nicole Thompson, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-07.

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