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NPI Code Detail

MEDICARE: SARAH M THOMPSON FNP

MEDICARE: SARAH M THOMPSON FNP
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
1163W00000XRegistered NurseLG-0000874DE
2363LF0000XFamily Nurse PractitionerLG-0000874DE

General Provider Information

NPI Number : 1659756203
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH M THOMPSON FNP
Provider Business Mailing Address
First Line : 2401 PHILADELPHIA PIKE
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 PHILADELPHIA PIKE
Second Line :
City : CLAYMONT
State : DE
Zip : 19703-2430
Country : US
Telephone Number : 302-320-4110
Fax Number : 302-798-6672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 03/19/2019

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