Individual
MICHELLE THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4986 N ADAMS RD STE D, ROCHESTER, MI 48306-5017
(248) 408-2359
Mailing address
4986 N ADAMS RD STE D, ROCHESTER, MI 48306-5017
(248) 408-2359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704286806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704286806
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF NURSING
MI
Enumeration date
02/05/2016
Last updated
02/05/2016
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