MEDICARE: CHERYL A THOMPSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	192906	MA

General Provider Information

NPI Number	:	1376693028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL A THOMPSON NP

Provider Business Mailing Address
First Line	:	30 TALLY HO DR
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-1918
Country	:	US
Telephone Number	:	617-733-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CONGRESS ST
Second Line	:	CHARTER PROFESSIONAL SERVICES
City	:	SALEM
State	:	MA
Zip	:	01970-5529
Country	:	US
Telephone Number	:	978-825-7124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	11/13/2017

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