Individual
MRS. BIANCA SHANE' THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
4200A TECHNOLOGY CT, CHANTILLY, VA 20151-1214
(540) 709-1737
Mailing address
15200 LEICESTERSHIRE ST UNIT 441, WOODBRIDGE, VA 22191-5945
(571) 247-7158
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM07386
VA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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