MEDICARE: ALINA PAGE THOMPSON APRN

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
1	363LF0000X	Family Nurse Practitioner	4016280	KY

General Provider Information

NPI Number	:	1144079625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA PAGE THOMPSON APRN

Provider Business Mailing Address
First Line	:	103 ALYCIA DR STE 10
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2368
Country	:	US
Telephone Number	:	859-624-6515
Fax Number	:	859-624-6514

Provider Business Practice Location Address
First Line	:	103 ALYCIA DR STE 10
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2368
Country	:	US
Telephone Number	:	859-624-6515
Fax Number	:	859-624-6514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	06/09/2026

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