Individual
MRS. E. MICHELE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4400 HAVERFORD AVE, HEALTH CENTER #4, PHILADELPHIA, PA 19104-1361
(215) 685-7600
(215) 685-7379
Mailing address
4400 HAVERFORD AVE, PHILADELPHIA, PA 19104-1361
(215) 685-7600
(215) 685-7379
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN208659L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 208659L
LICENSE NUMBER
PA
01
—
UP003263G
NP
PA
Enumeration date
02/22/2007
Last updated
09/03/2010
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