Individual
MRS. RENAE ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4413 AMERICAN ASH DR, MADISON, WI 53704-1169
(608) 246-1832
Mailing address
13232 W NORTHFIELD XING, EVANSVILLE, WI 53536-8216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
137392-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7424478974
—
WI
Enumeration date
01/13/2012
Last updated
01/13/2012
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