Provider Demographics
NPI:1366873986
Name:THOMPSON, CHRISTINE (CNS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 WILLET WAY
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5325
Mailing Address - Country:US
Mailing Address - Phone:925-426-7868
Mailing Address - Fax:925-426-7868
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:BOSWELL, SECOND FLOOR CARDILOGY CLINIC
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-6459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-07
Last Update Date:2013-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432252163WP2201X
CA1622364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care