Individual
ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6112 S 1550 E, OGDEN, UT 84405-5007
(801) 475-3800
(801) 475-3801
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3482
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81600883102
UT
363L00000X
Nurse Practitioner
Primary
81600884405
UT
Other
Enumeration date
06/23/2016
Last updated
10/19/2021
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