Individual
COLBY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201953
OK
363LG0600X
Gerontology Nurse Practitioner
201953
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
213429
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001900A
—
OK
Enumeration date
07/21/2021
Last updated
10/12/2022
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