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NPI Code Detail

MEDICARE: MS. ANN M THOMPSON APNP

MEDICARE: MS. ANN M THOMPSON APNP
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
1363L00000XNurse Practitioner2165WI
2363LX0001XObstetrics & Gynecology Nurse Practitioner2165WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2007806261KOTHERHUMANA

General Provider Information

NPI Number : 1033160783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN M THOMPSON APNP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 709 SPRING VALLEY RD
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-7614
Country : US
Telephone Number : 262-971-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 10/20/2025

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