Individual
NICOLE PECORA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514
(800) 437-2672
(954) 851-1746
Mailing address
PO BOX 744524, ATLANTA, GA 30374-4524
(800) 437-2672
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9355006
FL
367500000X
Certified Registered Nurse Anesthetist
11002654
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002654
FL
Other
Enumeration date
04/06/2019
Last updated
01/06/2021
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