Provider Demographics
NPI:1942807540
Name:THOMPSON, CAIDINCE NASHOTA
Entity Type:Individual
Prefix:
First Name:CAIDINCE
Middle Name:NASHOTA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 THURSTON RD
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04010-4308
Mailing Address - Country:US
Mailing Address - Phone:207-393-7908
Mailing Address - Fax:
Practice Address - Street 1:117 THURSTON RD
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:ME
Practice Address - Zip Code:04010-4308
Practice Address - Country:US
Practice Address - Phone:207-393-7908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide