Individual
MIRA BETH THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
3804 OGLETHORPE DR, WINTERVILLE, NC 28590-9799
(908) 328-4413
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
THIG-S1S08
NC
Other
Enumeration date
10/18/2023
Last updated
10/22/2023
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