Individual
MRS. SANDRA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-C
Contact information
Practice address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 276-4672
Mailing address
5395 E CHERYL PKWY, FITCHBURG, WI 53711-5395
(608) 276-4660
(608) 276-4672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.452688
IL
163W00000X
Registered Nurse
189406-30
WI
163W00000X
Registered Nurse
28185998A
IN
363LF0000X
Family Nurse Practitioner
Primary
8283-33
WI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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