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Mark K Thalacker, CNP
Nurse Practitioner in Woodbury, Minnesota
NPI 1063483493

Mark K Thalacker is a Nurse Practitioner based in Woodbury, MN. Mark K Thalacker practices in Woodbury, MN and has the professional credentials of CNP. The NPI Number for Mark K Thalacker is 1063483493 and holds a License No. R096321-5 (Minnesota).

The current practice location address for Mark K Thalacker is 1875 Woodwinds Dr, Woodbury, MN and can be reached out via phone at 651-232-0500.

Location: 1875 Woodwinds Dr, Woodbury, MN, 55125-2298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063483493
Provider Name
Mark K Thalacker
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1875 Woodwinds Dr, Woodbury, MN, 55125-2298
Phone Number
651-232-0500
Fax Number
Provider Enumeration Date
02/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
815725100 05 MN
institution
Provider Business Practice Location Address Details
Address
1875 Woodwinds Dr
City
Woodbury
State
Minnesota
Zip
55125-2298
Phone Number
651-232-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1875 Woodwinds Dr
City
Woodbury
State
Minnesota
Zip
55125-2298
Phone Number
651-232-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R096321-5 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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