Healthcare Provider Details

I. General information

NPI: 1730220310
Provider Name (Legal Business Name): MICHAEL A. THOMPSON RNFA,CNOR,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14340 E HAMPDEN AVE
AURORA CO
80014-3995
US

IV. Provider business mailing address

14340 E HAMPDEN AVE
AURORA CO
80014-3995
US

V. Phone/Fax

Practice location:
  • Phone: 303-669-0377
  • Fax:
Mailing address:
  • Phone: 303-669-0377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number89405
License Number StateCO

VIII. Authorized Official

Name: MICHAEL THOMPSON
Title or Position: RNFA
Credential: RN
Phone: 303-669-0377