Individual
CARRIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10900 TOMATILLO LN SE, ALBUQUERQUE, NM 87123-2163
(505) 259-2084
Mailing address
10900 TOMATILLO LN SE, ALBUQUERQUE, NM 87123-2163
(505) 259-2084
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
72199
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
72199
NM
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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