Individual
MR. PATRICK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
250 BON AIR RD, CMHS, GREENBRAE, CA 94904-1702
(415) 507-2961
(415) 507-4113
Mailing address
250 BON AIR RD, CMHS, GREENBRAE, CA 94904-1702
(415) 473-2961
(415) 507-4113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
503711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05058Z
PTAN
CA
Enumeration date
08/17/2006
Last updated
03/02/2011
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