Individual
DANIELLE M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
45 BELLEFONTE AVE STE 2, LOCK HAVEN, PA 17745
(570) 858-5328
(570) 858-5355
Mailing address
45 BELLEFONTE AVE STE 2, LOCK HAVEN, PA 17745-1237
(570) 858-5328
(570) 858-5355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103308870
—
PA
01
—
599134F6K
MEDICARE
PA
Enumeration date
12/15/2016
Last updated
11/25/2024
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