Provider Demographics
NPI:1942819628
Name:THOMSEN, FLORENCE WAIRIMU (NP)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:WAIRIMU
Last Name:THOMSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ALDRICH DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-8516
Mailing Address - Country:US
Mailing Address - Phone:209-631-3369
Mailing Address - Fax:
Practice Address - Street 1:3144 N G ST. 125 PMB 331
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-1385
Practice Address - Country:US
Practice Address - Phone:209-383-3990
Practice Address - Fax:209-383-2082
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95014949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily