Coralee M. Thacker-Thompson, PNP
NPI #1780766618 in Mountain View, Missouri
Provider Information
- NPI Number
- 1780766618
- Entity Type
- Individual
- Name
- Coralee M. Thacker-Thompson, PNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- PNP
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jul 15, 2008
Practice Location
- Address
- 104 EAST HIGHWAY 60
- City
- Mountain View
- State
- Missouri
- ZIP Code
- 65548
- Phone
- (417) 934-2251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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