Laura Huber Thacker
Nurse Practitioner, Acute Care in Cleveland, OH. Individual provider (NPI-1).
NPI number1437745155
StatusActive
Last updated in NPPESDec 16, 2020
Details
- NPI
- 1437745155
- Entity type
- Individual (NPI-1)
- Name
- Laura Huber Thacker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- Dec 15, 2020
- Last updated
- Dec 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | APRN.CNP.0027957 | OH | Yes |
Practice location
9500 Euclid AveCleveland, OH 44195-0001
Phone 216-645-8919
Mailing address
9500 Euclid AveCleveland, OH 44195-0001
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