Individual
BETH ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3413 COLONY BAY DR, ROCKFORD, IL 61109-2560
(779) 368-0757
(779) 368-0758
Mailing address
3413 COLONY BAY DR, ROCKFORD, IL 61109-2560
(779) 368-0757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.002784
IL
Other
Enumeration date
08/27/2015
Last updated
11/15/2023
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