Individual
PATRICIA ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4300 LONDONDERRY ROAD, HARRISBURG, PA 17105
(717) 657-7302
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1612
(717) 231-8539
(717) 231-8588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN198624L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
031742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001436480
HIGHMARK BS
PA
01
—
RN198624L
LICENSE
PA
Enumeration date
06/08/2006
Last updated
08/09/2012
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