Individual
LEAH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP-C
Contact information
Practice address
214 KING STREET, OGDENSBURG, NY 13669
(315) 713-5530
(315) 713-5545
Mailing address
214 KING STREET, OGDENSBURG, NY 13669
(315) 713-5530
(315) 713-5545
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06232168
—
NY
Enumeration date
08/24/2020
Last updated
10/28/2022
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