Individual
WENDY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 W BROADWAY, SUITE D, FARMINGTON, NM 87401-5638
(505) 325-0328
Mailing address
PO BOX 3239, FARMINGTON, NM 87499-3239
(505) 325-0328
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-74346
NM
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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