Individual
ALICIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
Mailing address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188916
CT
363LF0000X
Family Nurse Practitioner
Primary
13335
CT
Other
Enumeration date
05/14/2024
Last updated
06/27/2024
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