Individual
PAULA G THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1631
Mailing address
PO BOX 310001-069, PASADENA, CA 91110-0001
(602) 263-1200
(602) 263-1631
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN116165
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
292078
AZ
Other
Enumeration date
01/15/2009
Last updated
12/06/2024
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