Organization
PTHOMPSON ADVANCE PRACTICE
Active
Other names
Provision Created Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILLISHA ANDREA THOMPSON NP (NURSE PRACTITIONER)
(702) 665-8111
Entity
Organization
Contact information
Practice address
6260 MCLEOD DR STE 120, LAS VEGAS, NV 89120-4445
(702) 665-8111
(702) 551-9276
Mailing address
6024 FLY FISHER ST, LAS VEGAS, NV 89113-1728
(623) 533-9850
(702) 551-9276
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/31/2024
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