Doctor Name: | AMANDA THOMPSON |
NPI Number: | 1033513254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 647138 |
Business Practice Address: | 2663 County Route 1 Addison, NY - 148019146 |
Business Phone Number: | 6073295171 |
Business Fax Number: | |
Mailing Address: | 2663 County Route 1, ADDISON |
State: | NY |
Postal Code: | 148019146 |
Phone Number: | 6073295171 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 647138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |