Provider Demographics
NPI:1992226773
Name:THOPMSON, LINDA LOOU (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LOOU
Last Name:THOPMSON
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LOU
Other - Last Name:BERWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:335 E. HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661
Mailing Address - Country:US
Mailing Address - Phone:989-343-3276
Mailing Address - Fax:989-343-3164
Practice Address - Street 1:335 E. HOUGHTON AVE.
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661
Practice Address - Country:US
Practice Address - Phone:989-343-3276
Practice Address - Fax:989-343-3164
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704181087163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator