Individual provider · Type 1 NPI
Coralee M. Thacker-Thompson, PNP
Pediatric Nurse Practitioner · Mountain View, MO
NPI number
1780766618
Active
Practice location
104 East Highway 60
Mountain View, MO 65548
Fax (417) 934-2871
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 045482 (MO) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Mercy Clinic Springfield CommunitiesRural Health Clinic/Center Mountain View, MO NPI 1003946732
- Mercy ST Francis HospitalRural Health Clinic/Center Mountain View, MO NPI 1063850584
- Michael K. Gaddy, PA-CMedical Physician Assistant Mountain View, MO NPI 1871675702
- Patricia Alexa Summerford, APRNFamily Nurse Practitioner Mountain View, MO NPI 1669430575
About NPI 1780766618
Coralee M. Thacker-Thompson, PNP's National Provider Identifier is 1780766618, issued on Oct 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mountain View, MO. The record was last updated on Jul 15, 2008.