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Kelly Thalacker
Gerontology Nurse Practitioner in Easton, Pennsylvania
NPI 1184263451

Kelly Thalacker is a Gerontology Nurse Practitioner based in Allentown, PA and is specialized in Gerontology. Kelly Thalacker practices in Easton, PA. The NPI Number for Kelly Thalacker is 1184263451 and holds a License No. SP020519 (Pennsylvania).

The current practice location address for Kelly Thalacker is 41 Corporate Dr # 101, Easton, PA and can be reached out via phone at 610-559-9330.

Location: 41 Corporate Dr # 101, Easton, PA, 18104-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184263451
Provider Name
Kelly Thalacker
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Corporate Dr # 101, Easton, PA, 18104-2323
Phone Number
610-559-9330
Fax Number
Provider Enumeration Date
01/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
41 Corporate Dr # 101
City
Easton
State
Pennsylvania
Zip
18045-2670
Phone Number
610-559-9330
Fax Number
person
Provider Business Mailing Address Details
Address
41 Corporate Dr # 101
City
Easton
State
Pennsylvania
Zip
18045-2670
Phone Number
610-559-9330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
SP020519 (Pennsylvania)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
SP020519 (Pennsylvania)
Definition
Definition to come...
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