Individual
KARA V THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, MPH, RN, PNP-PC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-6629
(774) 443-7349
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2326652
MA
363L00000X
Nurse Practitioner
RN2326652
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2326652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110154995A
—
MA
Enumeration date
09/25/2018
Last updated
07/13/2022
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