Individual
PEGGY J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1608 S J ST FL 1, TACOMA, WA 98405-4930
(253) 274-7501
(360) 825-6536
Mailing address
1608 S J ST FL 1, TACOMA, WA 98405-4930
(253) 274-7501
(360) 825-6536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30005979
WA
367A00000X
Advanced Practice Midwife
Primary
AP30005979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194346
STATE L&I
WA
01
—
0204598
STATE L&I
WA
05
—
1044070
—
WA
01
—
8938491
STATE CRIME VICTIMS
WA
01
—
8940535
STATE CRIME VICTIMS
WA
Enumeration date
07/30/2006
Last updated
01/18/2021
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