Individual provider · Type 1 NPI

Raven Thacker, NP

Acute Care Nurse Practitioner · Houston, TX

NPI number 1003673559 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Mailing address

P O Box 4439
Houston, TX 77210-4439

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X1136389 (TX)
Acute Care Nurse Practitioner Primary 363LA2100X1136389 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1003673559

Raven Thacker, NP's National Provider Identifier is 1003673559, issued on Mar 1, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Houston, TX. The record was last updated on Apr 30, 2024.