IVY E THOMPSON

FAIRMONT, WV
NPI1164079828
Former NameIVY REGISTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  104266)
Enumeration Date2019-08-19
Last Update Date2022-12-29
Business Address
IVY E THOMPSON CFNP
630 FAIRMONT AVE
FAIRMONT, WV 26554-5104
Phone number: 304-534-8931
Mailing Address
IVY E THOMPSON CFNP
411 MORGANTOWN ST
KINGWOOD, WV 26537-1095
Phone number: 304-329-0555