Individual
DANIELLE R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2311 COTTMAN AVE STE 71, PHILADELPHIA, PA 19149-1007
(215) 444-7505
(215) 695-2919
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14678000
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00695800
NJ
Other
Enumeration date
01/27/2017
Last updated
04/02/2025
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