Individual provider · Type 1 NPI

Pamela S. Thacker, R, N., BSN, PHN, LCCE

Case Management Registered Nurse · Auburn, CA

NPI number 1013138403 Active

Practice location

11484 B Ave
Auburn, CA 95603-2603

Fax (530) 889-7198

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X213977 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1013138403

Pamela S. Thacker, R, N., BSN, PHN, LCCE's National Provider Identifier is 1013138403, issued on May 1, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Auburn, CA. The record was last updated on Jul 8, 2007.