Individual
PATRICIA LENORA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 GRANT AVE, PEEKSKILL, NY 10566-4026
(914) 720-2650
Mailing address
14 GRANT AVE, PEEKSKILL, NY 10566-4026
(914) 720-2650
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
543943-01
NY
163WP0200X
Pediatric Registered Nurse
543943-01
NY
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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