Thompson, Mervianna
Thompson, Mervianna is an individual health care provider with primary practice located at 818 Camino Sierra Vis , Santa Fe NM 87505-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Thompson, Mervianna can be contacted via phone (505) 988-1742.Contact Information
Primary practice address
818 Camino Sierra Vis
Santa Fe NM 87505-3018
Phone: (505) 988-1742
Fax: (505) 780-8611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | TL02117 | New Mexico |
Profile Details
| NPI number | 1811185333 |
|---|---|
| LBN Legal business name | Thompson, Mervianna |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2007 |
| Last updated | May 23rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811185333 | NPPES |
| New Mexico | MEDICAID | 68971567 | |
| New Mexico | Other | TXB106001 |
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