person
Robert Slade Thacker, APRNCFNP
Family Nurse Practitioner in Caldwell, Idaho
NPI 1124309224

Robert Slade Thacker is a Family Nurse Practitioner based in Caldwell, ID and is specialized in Family. Robert Slade Thacker practices in Caldwell, ID and has the professional credentials of APRNCFNP. The NPI Number for Robert Slade Thacker is 1124309224 and holds a License No. NP-1096A (Idaho).

The current practice location address for Robert Slade Thacker is 1906 Fairview Ave, Caldwell, ID and can be reached out via phone at 208-459-4667.

Location: 1906 Fairview Ave, Caldwell, ID, 83605-5407
person
Provider Profile Details
NPI Number
1124309224
Provider Name
Robert Slade Thacker
Credential
APRNCFNP
Provider Entity Type
Individual
Gender
Male
Address
1906 Fairview Ave, Caldwell, ID, 83605-5407
Phone Number
208-459-4667
Fax Number
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1906 Fairview Ave
City
State
Zip
83605-5407
Phone Number
208-459-4667
Fax Number
person
Provider Business Mailing Address Details
Address
1906 Fairview Ave
City
State
Zip
83605-5407
Phone Number
208-459-4667
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1096A (Idaho)
Definition
Definition to come...
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