Provider Demographics
NPI:1417283011
Name:THOMPSON, ANN E (FNP-C, MSN,CPAN CCRN)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP-C, MSN,CPAN CCRN
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:E
Other - Last Name:LEFKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C, MSN
Mailing Address - Street 1:4454 WILMINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-1961
Mailing Address - Country:US
Mailing Address - Phone:937-479-9687
Mailing Address - Fax:
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2711
Practice Address - Country:US
Practice Address - Phone:937-208-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH223885163W00000X
OHAPRN.CNP.0032797363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse