Doctor Name: | MICHELLE M THOMPSON |
NPI Number: | 1013223213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 11595 |
Business Practice Address: | 1121 Northview Dr Ste 2 Hillsboro, OH - 451338206 |
Business Phone Number: | 9374024732 |
Business Fax Number: | 9374024736 |
Mailing Address: | 10405 State Route 138 Sw, GREENFIELD |
State: | OH |
Postal Code: | 451238102 |
Phone Number: | 9379817682 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2010 |
NPI Last Update Date: | 11/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 11595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |