Provider Demographics
NPI:1689308207
Name:EARP, MARY THOMPSON (MSN, APRN, NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:THOMPSON
Last Name:EARP
Suffix:
Gender:F
Credentials:MSN, APRN, NNP-BC
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:THERESA
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:6119 HIGHCASTLE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3002
Mailing Address - Country:US
Mailing Address - Phone:919-623-1998
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-5063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC286633163WN0002X
NC5016508363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care