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NPI Code Detail

MEDICARE: MRS. CAROL S. THOMPSON CNM

MEDICARE: MRS. CAROL S. THOMPSON CNM
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
1367A00000XAdvanced Practice MidwifeARNP1957232FL

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 : 1073519245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL S. THOMPSON CNM
Provider Business Mailing Address
First Line : 13110 ELK MOUNTAIN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7182
Country : US
Telephone Number : 813-349-7569
Fax Number : 813-349-7569
Provider Business Practice Location Address
First Line : 508 N MARYLAND AVE
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3820
Country : US
Telephone Number : 813-349-7600
Fax Number : 813-938-6423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/11/2015

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Directions to “ MRS. CAROL S. THOMPSON CNM” Practice Location

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