Provider Demographics
NPI:1275966046
Name:THOMPSON, CHARLOTTE MAY (RN)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:MAY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W 36TH ST FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-9763
Mailing Address - Country:US
Mailing Address - Phone:212-719-9600
Mailing Address - Fax:212-719-9388
Practice Address - Street 1:16 W 36TH ST FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9763
Practice Address - Country:US
Practice Address - Phone:212-719-9600
Practice Address - Fax:212-719-9388
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY647061163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool