Provider Demographics
NPI:1245037332
Name:THOMPSON, ISABELLE ROSE
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:ROSE
Last Name:THOMPSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 DENISE CIR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2902
Mailing Address - Country:US
Mailing Address - Phone:402-318-4360
Mailing Address - Fax:
Practice Address - Street 1:1601 HEDGEAPPLE RD
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-5666
Practice Address - Country:US
Practice Address - Phone:402-318-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant