Individual
ELLEN SCOTT THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
368 COMMERCIAL PARK DR, FAIRHOPE, AL 36532-1910
(251) 455-8928
Mailing address
601 PATLYNN CT, FAIRHOPE, AL 36532-2731
(251) 455-8928
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1-098573
AL
Other
Enumeration date
02/07/2020
Last updated
07/26/2022
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