Provider Demographics
NPI:1104558105
Name:THOMPSON, MORGAN (CNP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:TE SLAA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5919 S REMINGTON PL STE 200
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5143
Mailing Address - Country:US
Mailing Address - Phone:605-499-7477
Mailing Address - Fax:
Practice Address - Street 1:5919 S REMINGTON PL STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5143
Practice Address - Country:US
Practice Address - Phone:605-499-7477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP002443363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily