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Individual

RONDA M THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0380
Mailing address
1639A 293RD AVE, FREDERIC, WI 54837-3807
(715) 472-2291

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4414-33
WI
363LG0600X
Gerontology Nurse Practitioner
R146582-2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-05876
MEDICA PRIMARY
01
04-07844
MEDICA CHOICE
05
0716183
IA
01
1028026
PREFERREDONE
01
1345966
ARAZ
01
151373
UCARE
05
165135800
MN
05
43951500
WI
01
502K8TH
BLUE CROSS BLUE SHIELD
01
HP34227
HEALTHPARTNERS
Enumeration date
11/08/2006
Last updated
09/30/2013
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