Healthcare Provider Details
I. General information
NPI: 1417283011
Provider Name (Legal Business Name): ANN E THOMPSON FNP-C, MSN,CPAN CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/02/2009
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 WYOMING ST
DAYTON OH
45409-2711
US
IV. Provider business mailing address
4454 WILMINGTON PIKE
DAYTON OH
45440-1961
US
V. Phone/Fax
- Phone: 937-208-8000
- Fax:
- Phone: 937-479-9687
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.0032797 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: