MEDICARE: DEBORAH THOMSON R. N. M. N. N. P.

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	363LW0102X	Women's Health Nurse Practitioner	0024108580	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730181678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH THOMSON R. N. M. N. N. P.

Provider Business Mailing Address
First Line	:	8110 MAPLE LAWN BLVD STE 235
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-2694
Country	:	US
Telephone Number	:	301-340-8339
Fax Number	:	301-340-9027

Provider Business Practice Location Address
First Line	:	8644 SUDLEY RD STE 305
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110
Country	:	US
Telephone Number	:	703-368-1969
Fax Number	:	703-369-4164

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	10/03/2018

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