Individual
TABATHA E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5775
(207) 795-5653
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5775
(207) 795-5653
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024181081
VA
367500000X
Certified Registered Nurse Anesthetist
079201-23
NH
367500000X
Certified Registered Nurse Anesthetist
AP60971041
WA
367500000X
Certified Registered Nurse Anesthetist
R053515
ME
Other
Enumeration date
12/18/2008
Last updated
04/16/2024
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