Provider Demographics
NPI:1477766434
Name:THOMPSON, AURELIA CECYLIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:AURELIA
Middle Name:CECYLIA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:AURELIA
Other - Middle Name:CECYLIA
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4155 CHANDON CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-0796
Mailing Address - Country:US
Mailing Address - Phone:714-926-9141
Mailing Address - Fax:
Practice Address - Street 1:4155 CHANDON CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-0796
Practice Address - Country:US
Practice Address - Phone:714-926-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA578463163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARVN001040OtherRN-INP