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Individual

MARKITA MARIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
277 GRATIOT AVE STE 100A8919, DETROIT, MI 48226-2239
(313) 515-5145
Mailing address
1759 WABASH ST, DETROIT, MI 48216-1843
(313) 613-9392

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704218652
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704218652
MI
363LG0600X
Gerontology Nurse Practitioner
4704218652
MI
363LP2300X
Primary Care Nurse Practitioner
4704218652
MI

Other

Enumeration date
08/31/2015
Last updated
03/17/2018
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