Individual
AMY KATHERINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6360 N SUNSHINE ST, COEUR D ALENE, ID 83815-8699
(208) 635-5623
(208) 601-6153
Mailing address
6360 N SUNSHINE ST, COEUR D ALENE, ID 83815-8699
(208) 635-5623
(208) 601-6153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007670
WA
363L00000X
Nurse Practitioner
Primary
NP-1674A
ID
363LA2100X
Acute Care Nurse Practitioner
AP30007670
WA
363LA2100X
Acute Care Nurse Practitioner
NP-1674A
ID
363LF0000X
Family Nurse Practitioner
AP30007670
WA
363LF0000X
Family Nurse Practitioner
NP-1674A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS40830
ID BOARD OF PHARMACY
ID
01
—
NP-1674A
IDAHO
ID
01
—
P00450009
RAILROAD MEDICARE
WA
Enumeration date
03/08/2007
Last updated
12/05/2024
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