Individual
BRANDI ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10430 PARK RD STE 100A, CHARLOTTE, NC 28210-8541
(704) 259-7673
Mailing address
10430 PARK RD STE 100A, CHARLOTTE, NC 28210-8541
(704) 259-7673
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5012028
NC
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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