Provider Demographics
NPI:1164945994
Name:THOMSON, CARLEE LYNN (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CARLEE
Middle Name:LYNN
Last Name:THOMSON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 US HIGHWAY 2 WEST SUITE 8
Mailing Address - Street 2:210 US HIGHWAY 2 WEST SUITE 8
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301
Mailing Address - Country:US
Mailing Address - Phone:701-662-2039
Mailing Address - Fax:701-662-2049
Practice Address - Street 1:210 HIGHWAY 2 W STE 8
Practice Address - Street 2:
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2913
Practice Address - Country:US
Practice Address - Phone:701-662-2039
Practice Address - Fax:701-662-2049
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR29332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily