Gwendolyn Irene Thacker, CNP
NPI #1619302791 in Miamisburg, Ohio
Provider Information
- NPI Number
- 1619302791
- Entity Type
- Individual
- Name
- Gwendolyn Irene Thacker, CNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Sep 9, 2013
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 4000 MIAMISBURG CENTERVILLE RD
- Address 2
- SUITE 110
- City
- Miamisburg
- State
- Ohio
- ZIP Code
- 45342-7615
- Phone
- (937) 865-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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