Provider Demographics
NPI:1871032342
Name:THOMPSON, EVA (NP)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:41680 MISS BESSIE DR
Mailing Address - Street 2:STE 102
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2906
Mailing Address - Country:US
Mailing Address - Phone:301-997-1788
Mailing Address - Fax:301-997-1791
Practice Address - Street 1:41680 MISS BESSIE DR
Practice Address - Street 2:STE 102
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2906
Practice Address - Country:US
Practice Address - Phone:301-997-1788
Practice Address - Fax:301-997-1791
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2017-04-14
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Provider Licenses
StateLicense IDTaxonomies
MDR171668363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health