Lisa Thayer, AGPCNP-BC
Nurse Practitioner in Minnetonka, Minnesota
1952774093- Practice location
- 9900 Bren RD E, Minnetonka, MN 55343-9664
- Phone
- 860-661-6574
- Fax
- —
- Last updated
- February 1, 2021
Lisa Thayer is a Nurse Practitioner based in Minnetonka, MN. Lisa Thayer practices in Minnetonka, MN and has the professional credentials of AGPCNP-BC. The NPI Number for Lisa Thayer is 1952774093 and holds a License No. 6214 (CT). The current practice location address for Lisa Thayer is 9900 Bren RD E, Minnetonka, MN 55343-9664 and can be reached out via phone at 860-661-6574.
Provider Profile Details
- NPI Number
- 1952774093
- Provider Name
- Lisa Thayer
- Credential
- AGPCNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9900 Bren RD E, Minnetonka, MN 55343-9664
- Phone Number
- 860-661-6574
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 12, 2015
- Last Update Date
- February 1, 2021
- Certification Date
- February 1, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9900 Bren RD E
Minnetonka, MN 55343-9664 - City
- Minnetonka
- State
- Minnesota
- Zip
- 55343-9664
- Phone Number
- 860-661-6574
Provider Business Mailing Address Details
- Address
- 155R Guilford RD
Durham, CT 06422-2815 - City
- Durham
- State
- CT
- Zip
- 06422-2815
License Information
- License Number
- 6214
- License State
- CT
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa Thayer, AGPCNP-BC?
The NPI number of Lisa Thayer, AGPCNP-BC is 1952774093. It was assigned on November 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Lisa Thayer, AGPCNP-BC?
Lisa Thayer, AGPCNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 6214.
Where does Lisa Thayer, AGPCNP-BC practice?
The practice location is 9900 Bren RD E, Minnetonka, MN 55343-9664. The office can be reached at 860-661-6574 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952774093 directly on the NPPES registry website.