Individual
SUSAN KATHLEEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N. CPNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3275
(614) 355-3285
Mailing address
DEPT 781625, P.O. BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN.142283-COA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2771666
—
OH
05
—
2846675
—
OH
Enumeration date
02/24/2012
Last updated
06/10/2016
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