Individual
KATELYN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55339 WINTERGREEN RD, NEW CARLISLE, IN 46552-9620
(574) 323-3826
Mailing address
55339 WINTERGREEN RD, NEW CARLISLE, IN 46552-9620
(574) 323-3826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010341A
IN
363LF0000X
Family Nurse Practitioner
28231442A
IN
Other
Enumeration date
07/24/2020
Last updated
07/30/2024
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