Individual
AMANDA LEIGH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1515 EUBANK BLVD SE BLDG 831, ALBUQUERQUE, NM 87123-3453
(505) 845-8159
(505) 845-8190
Mailing address
12901 DESERT MOON PL NE, ALBUQUERQUE, NM 87111-7118
(505) 670-5232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247533
NC
363LF0000X
Family Nurse Practitioner
5007413
NC
363LF0000X
Family Nurse Practitioner
Primary
65678
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700275724
—
NC
Enumeration date
01/14/2015
Last updated
03/14/2022
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