Individual
HEATHER D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20840 478TH AVE, WHITE, SD 57276-5904
(605) 651-4666
Mailing address
20840 478TH AVE, WHITE, SD 57276-5904
(605) 651-4666
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R047657
SD
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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