Individual
TRACY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 926-8340
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4882
WI
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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