Individual
MRS. MAKENZIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MCINTOSH ST, GHENT, WV 25843-1805
(304) 673-0844
Mailing address
202 GUYANDOTTE AVE, MULLENS, WV 25882-1308
(304) 294-6800
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
92290
WV
363LF0000X
Family Nurse Practitioner
Primary
106985
WV
Other
Enumeration date
10/30/2016
Last updated
10/18/2020
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