Individual
MRS. SHANA S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC CNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3040
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN211219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134631
—
OH
Enumeration date
03/06/2007
Last updated
10/17/2024
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