Individual
HOLLY MELISSA THOMPSON
Active
Individual
HOLLY MELISSA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704324282
MI
163W00000X
Registered Nurse
9045484-3102
UT
163WP0200X
Pediatric Registered Nurse
195264-9
MN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
6013
MN
Other
Enumeration date
07/05/2018
Last updated
07/23/2018
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