Robert Slade Thacker, APRN CFNP

NPI #1124309224 in Caldwell, Idaho

Provider Information

NPI Number
1124309224
Entity Type
Individual
Name
Robert Slade Thacker, APRN CFNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APRN CFNP
Enumeration Date
Sep 1, 2011
Last Updated
Aug 7, 2025

Practice Location

Address
712 AVIATION WAY
State
Idaho
ZIP Code
83605-1154
Phone
(208) 302-7100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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