MEDICARE: JULIE A THOMPSON ARNP

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	363LW0102X	Women's Health Nurse Practitioner	F-088841	IA

General Provider Information

NPI Number	:	1710003454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE A THOMPSON ARNP

Provider Business Mailing Address
First Line	:	4225 RED OAK DR
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-3947
Country	:	US
Telephone Number	:	319-366-5218
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 RED OAK DR
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-3947
Country	:	US
Telephone Number	:	319-366-5218
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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