Individual provider · Type 1 NPI

Cory Thompson, NP

Nurse Practitioner · Milwaukee, WI

NPI number 1104669423 Active

Practice location

945 N 12th St
Milwaukee, WI 53233-1305

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X251396 (WI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104669423

Cory Thompson, NP's National Provider Identifier is 1104669423, issued on Jun 14, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 15, 2024.