Individual provider · Type 1 NPI

Maryconnor Tacy Thompson, WHNP

Women's Health Nurse Practitioner · Salem, OR

NPI number 1083321285 Active

Practice location

3825 Wolverine St NE
Salem, OR 97305-1201

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN287283 (GA)
Women's Health Nurse Practitioner Primary 363LW0102X10025826 (OR)

Women's Health Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1083321285

Maryconnor Tacy Thompson, WHNP's National Provider Identifier is 1083321285, issued on Oct 28, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Salem, OR. The record was last updated on Apr 30, 2025.