Individual
ZECHARIAH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1040 N PROVIDENCE RD, MEDIA, PA 19063-2101
(610) 891-7705
Mailing address
1040 N PROVIDENCE RD, MEDIA, PA 19063-2101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028311
PA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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