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Dr. Bryce J Thacker, DNP,CNS,FNP-C
Family Nurse Practitioner in Cheyenne Wells, Colorado
NPI 1386670545

Bryce J Thacker is a Family Nurse Practitioner based in Burlington, CO and is specialized in Family. Bryce J Thacker practices in Cheyenne Wells, CO and has the professional credentials of DNP,CNS,FNP-C. The NPI Number for Bryce J Thacker is 1386670545 and holds a License No. APN.00005929-NP (Colorado).

The current practice location address for Bryce J Thacker is 602 N 6Th St W, Cheyenne Wells, CO and can be reached out via phone at 719-767-5669.

Location: 602 N 6Th St W, Cheyenne Wells, CO, 80807-1356
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Provider Profile Details
NPI Number
1386670545
Provider Name
Bryce J Thacker
Credential
DNP,CNS,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
602 N 6Th St W, Cheyenne Wells, CO, 80807-1356
Phone Number
719-767-5669
Fax Number
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47068731777 05 NE
47068731708 05 NE
71638741 05 CO
1495796 05 IA
0495796 05 IA
institution
Provider Business Practice Location Address Details
Address
602 N 6Th St W
City
State
Zip
80810-5125
Phone Number
719-767-5669
Fax Number
person
Provider Business Mailing Address Details
Address
602 N 6Th St W
City
State
Zip
80810-5125
Phone Number
719-767-5669
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN.00005929-NP (Colorado)
Definition
Definition to come...
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