Individual
MS. LISA MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 291-5160
(303) 293-3977
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 291-5160
(303) 293-3977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164555
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-5179
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50975854
—
CO
Enumeration date
11/01/2006
Last updated
04/04/2012
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