Provider Demographics
NPI:1932678471
Name:THOMAS, BRIGITTE
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10052 COBBLER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:DELAPLANE
Mailing Address - State:VA
Mailing Address - Zip Code:20144-2153
Mailing Address - Country:US
Mailing Address - Phone:703-673-6836
Mailing Address - Fax:
Practice Address - Street 1:10052 COBBLER VIEW DR
Practice Address - Street 2:
Practice Address - City:DELAPLANE
Practice Address - State:VA
Practice Address - Zip Code:20144-2153
Practice Address - Country:US
Practice Address - Phone:703-673-6836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program