MEDICARE: MRS. SONDRA S THOMPSON APRN

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
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	111373	TX

General Provider Information

NPI Number	:	1801093117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONDRA S THOMPSON APRN

Provider Business Mailing Address
First Line	:	513 LLAMA TRL
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-5637
Country	:	US
Telephone Number	:	254-553-2253
Fax Number	:

Provider Business Practice Location Address
First Line	:	3603 R AND R CENTER
Second Line	:	CR DARNALL ARMY MEDICAL CENTER
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-553-2253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	07/08/2007

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