Individual
ELIZABETH FAYE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E 34TH ST, FAIRVIEW RANGE MEDICAL CENTER, HIBBING, MN 55746-2341
(218) 362-6343
Mailing address
750 E 34TH ST, FAIRVIEW RANGE MEDICAL CENTER, HIBBING, MN 55746-2341
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R 185101-2
MN
363LF0000X
Family Nurse Practitioner
Primary
R185101-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205157872
—
MN
Enumeration date
06/18/2010
Last updated
10/15/2014
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