Hollie Marie Thacker
NPI #1083232391 in Lincoln Park, Michigan
Provider Information
- NPI Number
- 1083232391
- Entity Type
- Individual
- Name
- Hollie Marie Thacker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 13, 2020
- Last Updated
- Feb 27, 2023
Practice Location
- Address
- 1050 FORD BLVD
- City
- Lincoln Park
- State
- Michigan
- ZIP Code
- 48146-4225
- Phone
- (313) 400-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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