Individual
MRS. NANCY C THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7123 93RD AVE, KENOSHA, WI 53142-7670
(262) 694-8910
Mailing address
7123 93RD AVE, KENOSHA, WI 53142-7670
(262) 694-8910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98425-30
WI
Other
Enumeration date
12/01/2012
Last updated
12/01/2012
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