Individual
KRISTEN THATCHER
Active
Individual
KRISTEN THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2002017187
MO
363LF0000X
Family Nurse Practitioner
Primary
2015008347
MO
363LF0000X
Family Nurse Practitioner
A140020
IA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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