Individual
DIXIE ROUTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4900 GRANDE DR, PENSACOLA, FL 32504-8951
(850) 476-3696
(850) 477-3573
Mailing address
4900 GRANDE DR, PENSACOLA, FL 32504-8951
(850) 476-3696
(850) 477-3573
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP1762862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303385600
—
FL
01
—
59088941
BCBS AL
FL
01
—
P00105273
MEDICARE RR
FL
01
—
Y017D
BCBSFL
FL
Enumeration date
10/18/2005
Last updated
05/05/2008
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