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Individual

MS. ELIZABETH M THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4395
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1016
SC
Enumeration date
01/18/2011
Last updated
01/18/2011
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