| Doctor Name: | MS. CARLIE ANN THOMPSON |
| NPI Number: | 1184981755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | LG-0000604 |
| Business Practice Address: | 3015 Lincoln Hwy Thorndale, PA - 193721114 |
| Business Phone Number: | 6103807180 |
| Business Fax Number: | |
| Mailing Address: | 1279 Highspire Rd, ROMANSVILLE |
| State: | PA |
| Postal Code: | 193204796 |
| Phone Number: | 6103064098 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2012 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | LG-0000604 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |