Individual
TARA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 SOCIETY DR, CLAYMONT, DE 19703-1711
(267) 934-7981
Mailing address
3311 SOCIETY DR, CLAYMONT, DE 19703-1711
(267) 934-7981
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP016645
PA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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