Individual
MS. SHIRLEY J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7300
(802) 748-7321
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-7300
(802) 748-7321
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
042-0006555
VT
367A00000X
Advanced Practice Midwife
4704125240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021133
—
VT
05
—
3080101
—
NH
Enumeration date
08/08/2006
Last updated
04/25/2013
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