Provider Demographics
NPI:1598021891
Name:THOMPSON, ESTHER ELICE LINS (MSHS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:ELICE LINS
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MSHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BECKS WOODS DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3833
Mailing Address - Country:US
Mailing Address - Phone:302-836-8200
Mailing Address - Fax:
Practice Address - Street 1:121 BECKS WOODS DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3833
Practice Address - Country:US
Practice Address - Phone:302-836-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0000812363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant