Individual
MS. LINDA S THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4445 HARMONY POINT LN, BOULDER JUNCTION, WI 54512-9662
(715) 385-9185
Mailing address
4445 HARMONY POINT LN, BOULDER JUNCTION, WI 54512-9662
(715) 385-9185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166652-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35049500
—
WI
Enumeration date
09/08/2008
Last updated
11/24/2009
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