Individual
TAYLOR THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
770 TANGLEFOOT LN, BETTENDORF, IA 52722-1608
(563) 241-7443
Mailing address
1120 WILLANY DR, CLINTON, IA 52732-3302
(563) 451-5960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A177749
IA
Other
Enumeration date
02/29/2024
Last updated
03/21/2024
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