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Coralee M. Thacker-thompson, PNP
Pediatric Nurse Practitioner in Mountain View, Missouri
NPI 1780766618

Coralee M. Thacker-thompson is a Pediatric Nurse Practitioner based in Springfield, MO and is specialized in Pediatrics. Coralee M. Thacker-thompson practices in Mountain View, MO and has the professional credentials of PNP. The NPI Number for Coralee M. Thacker-thompson is 1780766618 and holds a License No. 045482 (Missouri).

The current practice location address for Coralee M. Thacker-thompson is 104 East Highway 60, Mountain View, MO and can be reached out via phone at 417-934-2251 and via fax at 417-934-2871.

Location: 104 East Highway 60, Mountain View, MO, 65801-2580
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Provider Profile Details
NPI Number
1780766618
Provider Name
Coralee M. Thacker-thompson
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
104 East Highway 60, Mountain View, MO, 65801-2580
Phone Number
417-934-2251
Fax Number
417-934-2871
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
426765103 05 MO
institution
Provider Business Practice Location Address Details
Address
104 East Highway 60
City
State
Zip
65548
Phone Number
417-934-2251
Fax Number
417-934-2871
person
Provider Business Mailing Address Details
Address
104 East Highway 60
City
State
Zip
65548
Phone Number
417-934-2251
Fax Number
417-934-2871
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
045482 (Missouri)
Definition
Definition to come...
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