Individual
SARA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12353 SILTON PEACE DR, RIVERVIEW, FL 33579-3935
(740) 601-4439
Mailing address
12353 SILTON PEACE DR, RIVERVIEW, FL 33579-3935
(740) 601-4439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
431561
OH
163W00000X
Registered Nurse
9510243
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11007282
FL
Other
Enumeration date
06/04/2020
Last updated
06/28/2020
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