Doctor Name: | NANCY THOMPSON |
NPI Number: | 1184933962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 444680 |
Business Practice Address: | 20132 Ulysses St Nw Elk River, MN - 553302254 |
Business Phone Number: | 7637538658 |
Business Fax Number: | |
Mailing Address: | 20132 Ulysses St Nw, ELK RIVER |
State: | MN |
Postal Code: | 553302254 |
Phone Number: | 7637538658 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 444680 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |