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NPI Code Detail

MEDICARE: REBECCA WOOD THOMPSON RN

MEDICARE: REBECCA WOOD THOMPSON RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered NurseRN156266AZ

General Provider Information

NPI Number : 1750240966
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WOOD THOMPSON RN
Provider Business Mailing Address
First Line : 720 E MONTEBELLO AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2543
Country : US
Telephone Number : 602-535-3382
Fax Number : 602-297-0779
Provider Business Practice Location Address
First Line : 720 E MONTEBELLO AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2543
Country : US
Telephone Number : 602-535-3382
Fax Number : 602-297-0779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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