Bryce J Thacker is a Family in Cheyenne Wells, Colorado. Bryce J Thacker practices all healthcare services and medical treatments related to Family. The NPI Number for Bryce J Thacker is 1386670545. The last update date is 2021-07-22.
Bryce J Thacker's current location address is 602 N 6th St W, Cheyenne Wells, Colorado. You can contact this provider via phone number 7197675669. The mailing address for Bryce J Thacker is 602 N 6th St W, Cheyenne Wells, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryce J Thacker |
|---|---|
| Address | 602 N 6th St W, Cheyenne Wells, Colorado |
| Phone Number | 7197675669 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DNP, CNS, |
NPI Number Detail
| NPI Number | 1386670545 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2021-07-22 |
Provider Mailing Address Detail
| Address | 602 N 6th St W |
|---|---|
| City | Cheyenne Wells |
| State | Colorado (CO) |
| Post Code | 808105125 |
| Phone Number | 7197675669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APN.00005929 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47068731777 | NE | -- | |
| 47068731708 | NE | -- | |
| 71638741 | CO | -- | |
| 1495796 | IA | -- | |
| 495796 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bryce J Thacker by the Centers for Medicare & Medicaid Services?
The Bryce J Thacker has been assigned the NPI (National Provider Identifier) 1386670545 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bryce J Thacker?
The Bryce J Thacker is situated at 602 N 6Th St W, in the city of Cheyenne Wells, state of CO, with the zip code 808105125.
What is Bryce J Thacker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bryce J Thacker is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Bryce J Thacker receive the assignment of its 1386670545 from the Centers for Medicare & Medicaid Services?
The Bryce J Thacker was issued its 1386670545 by the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the information regarding Bryce J Thacker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryce J Thacker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-07-22.