Individual provider · Type 1 NPI
Katie Michelle Thompson, NP
Pediatric Nurse Practitioner · Bonners Ferry, ID
NPI number
1871005884
Active
Practice location
32 David Thompson Dr
Bonners Ferry, ID 83805-4948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95003270 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | 3771170 (ID) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1871005884
Katie Michelle Thompson, NP's National Provider Identifier is 1871005884, issued on Oct 31, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bonners Ferry, ID. The record was last updated on Nov 21, 2025.