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NPI Code Detail

MEDICARE: SANDRA ST LOUIS THOMPSON NURSE PRACTITIONER

MEDICARE: SANDRA ST LOUIS THOMPSON NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5013675NC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner4035882KY
3208VP0000XPain Medicine Physician5013675NC
4363L00000XNurse Practitioner2332017MA
5363LP0808XPsychiatric/Mental Health Nurse Practitioner0027139OH
6363LP0808XPsychiatric/Mental Health Nurse Practitioner5013675NC
7363LP2300XPrimary Care Nurse Practitioner4035882KY
8363LF0000XFamily Nurse Practitioner0027139OH
9363LF0000XFamily Nurse Practitioner5013675NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013525310
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA ST LOUIS THOMPSON NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1345 NC HIGHWAY 268
Second Line :
City : LENOIR
State : NC
Zip : 28645-9027
Country : US
Telephone Number : 828-754-6850
Fax Number :
Provider Business Practice Location Address
First Line : 1345 NC HIGHWAY 268
Second Line :
City : LENOIR
State : NC
Zip : 28645-9027
Country : US
Telephone Number : 828-754-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2020
Last Update Date : 05/12/2026

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