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Individual

MARY E THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA, MN

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200783
OK
367500000X
Certified Registered Nurse Anesthetist
AP05425
LA
367500000X
Certified Registered Nurse Anesthetist
RN100017
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03576769
MS
05
1012912
LA
Enumeration date
07/02/2007
Last updated
06/12/2024
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