Provider Demographics
NPI:1760093983
Name:THOMPSON, TRISHA (APRN-C)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 N TOPEKA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3620
Mailing Address - Country:US
Mailing Address - Phone:316-312-0002
Mailing Address - Fax:316-864-5644
Practice Address - Street 1:933 N TOPEKA ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3620
Practice Address - Country:US
Practice Address - Phone:316-312-0002
Practice Address - Fax:316-864-5644
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79690-031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily