Mrs. Mervianna Thompson
Nurse Practitioner - Community Health
818 Camino Sierra Vis
Santa Fe
, New Mexico 87505-3018
Mrs. Mervianna Thompson
Nurse Practitioner - Community Health
818 Camino Sierra Vis
Santa Fe
, New Mexico 87505-3018
(505) 982-8440
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mrs. Mervianna Thompson
- 1035 Alto St
- Santa Fe, NM
- Zip : 87501-2406
- Fax : (505) 982-8440
- Phone : (505) 982-4425
Second Address
- Mrs. Mervianna Thompson
- 818 Camino Sierra Vis
- Santa Fe, NM
- Zip : 87505-3018
- Fax : (505) 780-8611
- Phone : (505) 988-1742
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Is Mrs. Mervianna Thompson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | TL02117 | NM |
National Provider Identifier
| NPI | 1811185333 |
|---|---|
| Provider Name | Mrs. Mervianna Thompson |
| First Address | Santa Fe, NM 87501-2406 |
| Second Address | Santa Fe, NM 87505-3018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2007 |
| Last Update Date | 23/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 68971567 | (05) | NM |
| TXB106001 | MEDICARE PTAN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.