Individual
BRANDI S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592-1662
(434) 572-8977
Mailing address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592-1662
(434) 572-8977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179150
VA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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