Provider Demographics
NPI:1043209901
Name:THOMPSON, ANABELL CASTRO (NP-C)
Entity Type:Individual
Prefix:
First Name:ANABELL
Middle Name:CASTRO
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 E FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5656
Mailing Address - Country:US
Mailing Address - Phone:602-358-9608
Mailing Address - Fax:602-636-5382
Practice Address - Street 1:1510 E FLOWER ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5656
Practice Address - Country:US
Practice Address - Phone:602-358-9608
Practice Address - Fax:602-636-5382
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1966363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ103174Medicare ID - Type Unspecified
AZQ43506Medicare UPIN