Bethany Jean Thompson, PA
Physician Assistant in Saint Paul, MN. Individual provider (NPI-1).
NPI number1942017579
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1942017579
- Entity type
- Individual (NPI-1)
- Name
- Bethany Jean Thompson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 15153 | MN | Yes |
Practice location
2550 University Ave W Ste 130nSaint Paul, MN 55114-1096
Phone 651-447-3755
Mailing address
S1765 Simpson RdReedsburg, WI 53959-9764
Phone 608-963-8258
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