Penny L Thompson in Portland - Nurse Practitioner
Penny L Thompson - NPI 1144250267
Penny L Thompson is a Nurse Practitioner in Portland, Michigan. Penny L Thompson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Penny L Thompson is 1144250267. The last update date is 2023-08-24.
Penny L Thompson's current location address is 9751 E Grand River Ave, Portland, Michigan. You can contact this provider via phone number 5176476722 and fax number 5176476838. The mailing address for Penny L Thompson is 9751 E Grand River Ave, Portland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny L Thompson |
|---|---|
| Address | 9751 E Grand River Ave, Portland, Michigan |
| Phone Number | 5176476722 |
| Fax Number | 5176476838 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1144250267 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2023-08-24 |
Provider Mailing Address Detail
| Address | 9751 E Grand River Ave |
|---|---|
| City | Portland |
| State | Michigan (MI) |
| Post Code | 4887597740 |
| Phone Number | 5176476722 |
| Fax Number | 5176476838 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704141434 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4579202 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Penny L Thompson by the Centers for Medicare & Medicaid Services?
The Penny L Thompson has been issued the NPI (National Provider Identifier) 1144250267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Penny L Thompson is geographically located?
The Penny L Thompson is physically situated at the following location: 9751 E Grand River Ave, Portland, MI, 4887597740.
What is the Penny L Thompson's specialty and taxonomy code?
The Penny L Thompson's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Penny L Thompson receive its 1144250267 assignment from the Centers for Medicare & Medicaid Services?
The Penny L Thompson was assigned its 1144250267 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date were the details pertaining to Penny L Thompson last refreshed?
The information related to the Penny L Thompson, including its address, specialty, and other relevant details, was last updated on 2023-08-24.