Individual
MRS. NICOLE ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(602) 384-3328
Mailing address
4740 S PLATINUM CT, CHANDLER, AZ 85248-5203
(602) 384-3328
(480) 584-3464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2916
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294834
—
AZ
Enumeration date
12/09/2007
Last updated
07/24/2015
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