Individual
KLARYSA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 E RAY RD # 9, PHOENIX, AZ 85044-6405
(480) 550-7854
Mailing address
4802 E RAY RD # 9, PHOENIX, AZ 85044-6405
(480) 550-7854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9037718-4405
UT
Other
Enumeration date
08/29/2019
Last updated
08/12/2026
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