Individual
HAZEL LOUISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
7108 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216-8720
(704) 589-2252
Mailing address
7108 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216-8720
(704) 589-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5001109
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0050-01109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447234166
NPI
NC
Enumeration date
12/06/2005
Last updated
05/23/2014
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