Doctor Name: | RONDA M THOMPSON |
NPI Number: | 1528138468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R146582-2 |
Business Practice Address: | 235 E State St Saint Croix Falls, WI - 540244117 |
Business Phone Number: | 7154833261 |
Business Fax Number: | 7154830380 |
Mailing Address: | 1639a 293rd Ave, FREDERIC |
State: | WI |
Postal Code: | 548373807 |
Phone Number: | 7154722291 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R146582-2 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |