Individual
TRICIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 PHEASANT LN, WATERLOO, IA 50701-5215
(319) 233-3611
(319) 233-0669
Mailing address
PO BOX 2818, WATERLOO, IA 50704-2818
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A099677
IA
Other
Enumeration date
03/10/2006
Last updated
04/09/2014
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