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Individual

ELIZABETH THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 683-9902
Mailing address
14750 NW 66TH TER, PARKVILLE, MO 64152-5218
(336) 392-2579

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2017005255
MO
363LA2200X
Adult Health Nurse Practitioner
5377930071
KS

Other

Enumeration date
06/03/2010
Last updated
12/17/2020
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