Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 147081 | KS |
NPI | 1033559125 |
---|---|
Provider Name | Stephanie M Thompson |
First Address | Parsons, KS 67357-4948 |
Second Address | Parsons, KS 67357-4948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2013 |
Last Update Date | 03/07/2013 |