Thompson, Mitzi R.

Thompson, Mitzi R. is an individual health care provider with primary practice located at The Kidney Center Uva Hospital W Hospital Drive, 5Th Floor, Charlottesville VA 22908-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thompson, Mitzi R. can be contacted via phone (434) 924-1984.

Contact Information

Primary practice address
The Kidney Center Uva Hospital W Hospital Drive, 5Th Floor Charlottesville VA 22908-0001
Fax: (434) 924-5848
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024091145 Virginia

Profile Details

NPI number 1780729319
LBN Legal business name Thompson, Mitzi R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780729319 NPPES
Virginia MEDICAID 010104815

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