Individual
MRS. LYNN WACHTER THOMPSON - GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006438B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP006438B
LICENSE NUMBER
PA
Enumeration date
07/04/2006
Last updated
03/07/2023
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