Individual
MICHELLE RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP BC
Contact information
Practice address
512 SAGAMORE PKW W, WEST LAFAYETTE, IN 47906-1819
(765) 430-7872
Mailing address
512 SAGAMORE PKW W, WEST LAFAYETTE, IN 47906-1819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003516A
IN
Other
Enumeration date
12/16/2010
Last updated
09/05/2017
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