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Organization

DYANA THOMPSON PMHNP-BC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DYANA THOMPSON APN (OWNER)
(973) 747-2822
Entity
Organization

Contact information

Practice address
4 ANDERSON DR, WAYNE, NJ 07470-2617
(973) 747-2822
(551) 800-3975
Mailing address
4 ANDERSON DR, WAYNE, NJ 07470-2617

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0450678126
BUSINESS ID
NJ
Enumeration date
05/23/2022
Last updated
05/23/2022
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