Individual
MISS AKEILIA CHANTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
492 6TH AVE, NEW YORK, NY 10011-8404
(646) 454-9000
Mailing address
492 6TH AVE, NEW YORK, NY 10011-8404
(646) 454-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310800
NY
Other
Enumeration date
09/06/2022
Last updated
09/15/2023
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