Individual
LINDA RENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
652 HARRIS ROAD, FERNDALE, NY 12734
(845) 292-1200
(845) 292-1303
Mailing address
30 DEVANY RD, FERNDALE, NY 12734-6801
(845) 292-3851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
332340
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F300412
NY
Other
Enumeration date
07/10/2006
Last updated
03/19/2008
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