Provider Demographics
NPI:1497030142
Name:THOMPSON, BARBARA ANNE (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16511-1126
Mailing Address - Country:US
Mailing Address - Phone:412-342-5970
Mailing Address - Fax:
Practice Address - Street 1:402 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16511-1126
Practice Address - Country:US
Practice Address - Phone:412-342-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN271745-L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse