Individual
PHILLISHA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6260 MCLEOD DR STE 120, LAS VEGAS, NV 89120-4445
(702) 665-8111
(702) 551-9276
Mailing address
6260 MCLEOD DR STE 120, LAS VEGAS, NV 89120-4445
(702) 444-2407
(702) 551-9276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
845714
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845714
APRN
NV
Enumeration date
09/01/2021
Last updated
09/08/2023
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