Individual
LAURA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
640 SW 4TH AVE, ONTARIO, OR 97914-2625
(888) 875-7820
Mailing address
3097 S FERN CREEK WAY, BOISE, ID 83709-8569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76728
ID
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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