Individual
KATHERINE M THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
106 N DELAWARE AVE, ROSWELL, NM 88203-3042
(575) 973-8543
(575) 578-1901
Mailing address
1511 S GRAND AVE, ROSWELL, NM 88203-5407
(575) 623-3255
(575) 625-9901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01930
NM
363LF0000X
Family Nurse Practitioner
CNP-01930
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67478069
—
NM
Enumeration date
01/30/2012
Last updated
03/22/2024
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