Provider Demographics
NPI:1427088558
Name:THOMPSON, MICHELE PATRICE (CRNP)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:PATRICE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:SCHONBRUNNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 MONUMENT RD STE 295
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5049
Practice Address - Country:US
Practice Address - Phone:717-851-6120
Practice Address - Fax:717-409-6223
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008210363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA106834OtherJOHNS HOPKINS
MD628500OtherCAREFIRST MD BCBS
PA1026537510001Medicaid
PA1551722OtherGATEWAY-WMG
PA1974766OtherHIGHMARK BLUE SHIELD
PA20030931OtherAMERIHEALTH MERCY-WMG
PA50031758OtherCAPITAL BLUE CROSS-WMG
MD628500OtherCAREFIRST MD BCBS
PA106834OtherJOHNS HOPKINS