Individual
SUSAN ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4175
(218) 823-4411
Mailing address
2505 MANSFIELD AVE, DREXEL HILL, PA 19026-1016
(610) 246-0024
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN322251L
PA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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