Individual
TARA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 W SUNSET RD # 100-120, HENDERSON, NV 89014-6681
(702) 888-3126
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
864670
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
864670
APRN LICENSE
NV
Enumeration date
02/27/2023
Last updated
02/27/2023
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