Individual
SHELLEY RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1460 E CALVADA BLVD, PAHRUMP, NV 89048-5822
(775) 210-8333
(775) 346-9158
Mailing address
2190 E MESQUITE AVE, PAHRUMP, NV 89060-3427
(775) 751-4500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
816085
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
816085
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816085
STATE LICENSE
NV
Enumeration date
12/19/2018
Last updated
12/22/2023
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