Individual
GENEVIEVE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
14 FULTON DR, STAFFORD, VA 22554-7827
(540) 538-1538
Mailing address
14 FULTON DR, STAFFORD, VA 22554-7827
(540) 538-1538
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0001163748
VA
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001163748
VA
163WN1003X
Nutrition Support Registered Nurse
0001163748
VA
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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