Individual provider · NPI-1
Genevieve Thompson, RN, CDE
Registered Nurse, Diabetes Educator · Stafford, VA
NPI number1295187607
StatusActive
Last updated in NPPESJul 9, 2016
Details
- NPI
- 1295187607
- Entity type
- Individual (NPI-1)
- Name
- Genevieve Thompson
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2016
- Last updated
- Jul 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 0001163748 | VA | Yes |
| 163WC0400X | Registered Nurse, Case Management | 0001163748 | VA | |
| 163WN1003X | Registered Nurse, Nutrition Support | 0001163748 | VA |
Practice location
14 Fulton DrStafford, VA 22554-7827
Phone 540-538-1538
Mailing address
14 Fulton DrStafford, VA 22554-7827
Phone 540-538-1538
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.