Healthcare Provider Details

I. General information

NPI: 1548429327
Provider Name (Legal Business Name): PRISCILLA GRACE THOMPSON ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRISCILLA OSBORN THOMPSON ARNP, CNM

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2659 N ASH ST
SPOKANE WA
99205-3606
US

IV. Provider business mailing address

6722 N WALL ST
SPOKANE WA
99208-4153
US

V. Phone/Fax

Practice location:
  • Phone: 509-327-0701
  • Fax: 509-324-3669
Mailing address:
  • Phone: 509-467-3820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30003848
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4547
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00037353
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: