Doctor Name: | ALENA THOMPSON |
NPI Number: | 1104206879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CNP151024 |
Business Practice Address: | 16 Commerce Plz Ste 3a Winthrop, ME - 043641498 |
Business Phone Number: | 2073772111 |
Business Fax Number: | 2076243845 |
Mailing Address: | 16 Commerce Plz, Ste 3a WINTHROP |
State: | ME |
Postal Code: | 043641498 |
Phone Number: | 2073772111 |
Fax Number: | 2076243845 |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP151024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |