Individual
SHARRON THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
LAKEVIEW HOSPITAL, 927 CHURCHILL STREET WEST, STILLWATER, MN 55082
(651) 430-8519
(651) 220-7777
Mailing address
1790 RICHARD CIRCLE, WEST SAINT PAUL, MN 55118
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
R1624618
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
THO1-0430-9896
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098485000
—
MN
Enumeration date
05/10/2006
Last updated
09/24/2018
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