Individual
MRS. TARA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 BREMO RD, SUITE 601, RICHMOND, VA 23226-1934
(804) 673-2806
Mailing address
107 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4521
(804) 330-4901
(804) 330-9145
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024172860
VA
Other
Enumeration date
10/02/2015
Last updated
11/25/2015
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