Healthcare Provider Details

I. General information

NPI: 1912768086
Provider Name (Legal Business Name): MORGAN ELIZABETH THOMPSON MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3107 SW 21ST ST
TOPEKA KS
66604-3298
US

IV. Provider business mailing address

3995 W 125TH ST
CARBONDALE KS
66414-9250
US

V. Phone/Fax

Practice location:
  • Phone: 785-480-9883
  • Fax:
Mailing address:
  • Phone: 785-364-7245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-82815-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: