Doctor Name: | MRS. SASHA ALLOYSE THOMPSON |
NPI Number: | 1659785145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP- AC/PC |
License Number: | COA.14448-NP |
Business Practice Address: | 12434 Pine Valley Cir Peyton, CO - 808314101 |
Business Phone Number: | 4192171048 |
Business Fax Number: | |
Mailing Address: | 12434 Pine Valley Cir, PEYTON |
State: | CO |
Postal Code: | 808314101 |
Phone Number: | 4192171048 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | COA.14448-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |