institution
Dyana Thompson Pmhnp-bc, Llc
Psychiatric/Mental Health Nurse Practitioner in Wayne, New Jersey
NPI 1912645672

Dyana Thompson Pmhnp-bc, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Wayne, NJ and is specialized in Psychiatric/Mental Health. Dyana Thompson Pmhnp-bc, Llc practices in Wayne, NJ. The NPI Number for Dyana Thompson Pmhnp-bc, Llc is 1912645672 and holds a License No. (New Jersey).

The current practice location address for Dyana Thompson Pmhnp-bc, Llc is 4 Anderson Dr, Wayne, NJ and can be reached out via phone at 973-747-2822 and via fax at 551-800-3975.

Location: 4 Anderson Dr, Wayne, NJ, 07470-2617
institution
Provider Profile Details
NPI Number
1912645672
Provider Name
Dyana Thompson Pmhnp-bc, Llc
Credential
Provider Entity Type
Organization
Address
4 Anderson Dr, Wayne, NJ, 07470-2617
Phone Number
973-747-2822
Fax Number
551-800-3975
Provider Enumeration Date
05/23/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0450678126 01 NJ BUSINESS ID
institution
Provider Business Practice Location Address Details
Address
4 Anderson Dr
City
State
Zip
07470-2617
Phone Number
973-747-2822
Fax Number
551-800-3975
person
Provider Business Mailing Address Details
Address
4 Anderson Dr
City
State
Zip
07470-2617
Phone Number
973-747-2822
Fax Number
551-800-3975
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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