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Individual

LOUISE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
512 S PARK VIEW ST APT 408, LOS ANGELES, CA 90057-2744
(678) 578-9547
Mailing address
512 S PARK VIEW ST APT 408, LOS ANGELES, CA 90057-2744
(678) 578-9547

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008063
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017030588
ANCC BOARD CERTIFICATION
CA
01
950088063
NURSE PRACTITIONER
CA
Enumeration date
04/10/2018
Last updated
04/10/2018
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