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Individual

MS. NANCY C THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
112 NORTH SEVENTH STREET, CHAMBERSBURG, PA 17201-1700
(717) 267-3000
(717) 217-4218
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN141763L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001964075 0003
PA
05
001964075 0004
PA
05
0019640750002
PA
01
050514
MEDICARE GROUP #
PA
01
1007307260035
MEDICAID GROUP #
01
120420418
DEPT OF LABOR
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
253379
UNISON
PA
01
50075252
CAPITAL BLUECROSS
PA
01
G920-0090/85XWCU
CAREFIRST
PA
01
P00458428
RAILROAD MEDICARE
PA
01
PEARL PROVIDER
HEALTH AMERICA
PA
01
RN141763L
LICENSE
PA
Enumeration date
08/30/2005
Last updated
05/17/2010
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