Provider Demographics
NPI:1972516821
Name:THOMPSON, CATHLENE ANN (RNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHLENE
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:CATHLENE
Other - Middle Name:ANN
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3259 EAGLE CREST DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-4076
Mailing Address - Country:US
Mailing Address - Phone:951-371-8405
Mailing Address - Fax:
Practice Address - Street 1:18601 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:CA
Practice Address - Zip Code:92316-1831
Practice Address - Country:US
Practice Address - Phone:909-877-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN230590363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health