Provider Demographics
NPI:1497548242
Name:THOMPSON, ALICE GEORGETTE (LPN)
Entity type:Individual
Prefix:MISS
First Name:ALICE
Middle Name:GEORGETTE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:ALICE
Other - Middle Name:GEORGETTE
Other - Last Name:LUTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:AK
Mailing Address - Zip Code:99674-0540
Mailing Address - Country:US
Mailing Address - Phone:907-414-6511
Mailing Address - Fax:
Practice Address - Street 1:4330 ELMORE RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5907
Practice Address - Country:US
Practice Address - Phone:907-729-6690
Practice Address - Fax:907-729-6699
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURP6746164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse