Individual
MS. ELIZABETH A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
500 UNIVERSITY DR, PENN STATE HERSHEY MEDICAL CENTER, HERSHEY, PA 17033-2360
(717) 531-4950
(717) 531-6770
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002397L
PA
363AM0700X
Medical Physician Assistant
MA002397L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03261702
CAP BLUE CROSS
—
05
—
1032847140001
—
PA
Enumeration date
01/06/2006
Last updated
11/22/2019
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