Coralee M. Thacker-Thompso in Mountain View - Pediatrics
Coralee M. Thacker-Thompso - NPI 1780766618
Coralee M. Thacker-Thompso is a Pediatrics in Mountain View, Missouri. Coralee M. Thacker-Thompso practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Coralee M. Thacker-Thompso is 1780766618. The last update date is 2008-07-15.
Coralee M. Thacker-Thompso's current location address is 104 East Highway 60, Mountain View, Missouri. You can contact this provider via phone number 4179342251 and fax number 4179342871. The mailing address for Coralee M. Thacker-Thompso is 104 East Highway 60, Mountain View, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coralee M. Thacker-Thompso |
|---|---|
| Address | 104 East Highway 60, Mountain View, Missouri |
| Phone Number | 4179342251 |
| Fax Number | 4179342871 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1780766618 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 104 East Highway 60 |
|---|---|
| City | Mountain View |
| State | Missouri (MO) |
| Post Code | 65548 |
| Phone Number | 4179342251 |
| Fax Number | 4179342871 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 45482 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 426765103 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Coralee M. Thacker-Thompso by the Centers for Medicare & Medicaid Services?
The Coralee M. Thacker-Thompso has been assigned the NPI (National Provider Identifier) 1780766618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Coralee M. Thacker-Thompso's facilities are geographically located?
The facilities of Coralee M. Thacker-Thompso are physically situated at the following location: 104 East Highway 60, Mountain View, MO, 65548.
What is Coralee M. Thacker-Thompso's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Coralee M. Thacker-Thompso is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date was the 1780766618 assigned to Coralee M. Thacker-Thompso?
The Coralee M. Thacker-Thompso was issued its 1780766618 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Coralee M. Thacker-Thompso, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Coralee M. Thacker-Thompso, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-15.
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