Individual
LIZBETH J THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
720 E MINERS DR, ELY, MN 55731-1400
(218) 365-0001
(218) 365-0005
Mailing address
720 E MINERS DR, ELY, MN 55731-1400
(218) 248-0122
(218) 365-0005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9977
MN
363LA2200X
Adult Health Nurse Practitioner
9977
MN
363LF0000X
Family Nurse Practitioner
9977
MN
363LP2300X
Primary Care Nurse Practitioner
9977
MN
363LW0102X
Women's Health Nurse Practitioner
9977
MN
Other
Enumeration date
04/19/2023
Last updated
02/03/2025
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