Individual
TINA TERREL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
2130 ACADEMY CIR STE D, COLORADO SPRINGS, CO 80909-1675
(719) 425-2631
Mailing address
PO BOX 50542, COLORADO SPRINGS, CO 80949-0542
(719) 210-3207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994623-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14473158
CAQH
—
Enumeration date
09/12/2019
Last updated
09/12/2019
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