Provider Demographics
NPI:1336902774
Name:THOMSEN, BARBARA (RN, CARN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:THOMSEN
Suffix:
Gender:F
Credentials:RN, CARN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56241-0116
Mailing Address - Country:US
Mailing Address - Phone:320-564-4911
Mailing Address - Fax:320-564-3122
Practice Address - Street 1:660 18TH ST
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56241-1044
Practice Address - Country:US
Practice Address - Phone:320-564-4911
Practice Address - Fax:320-564-3122
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2482891163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse