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Individual

ANTOINETTE M THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9250 UNIVERSITY AVE, WEST DES MOINES, IA 50266-1962
(515) 985-2676
Mailing address
5223 WINDSOR CT, PLEASANT HILL, IA 50327-0992
(405) 640-3982

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
82169
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
A142312
IA
363LF0000X
Family Nurse Practitioner
82169
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0251900024
IA
Enumeration date
12/08/2014
Last updated
11/01/2022
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