Individual
PATRICIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2111 LOBO CANYON RD, GRANTS, NM 87020
(505) 876-8300
(505) 876-8348
Mailing address
PO BOX 1944, GRANTS, NM 87020-1944
(828) 443-2399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02268
NM
Other
Enumeration date
10/22/2013
Last updated
05/05/2014
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