Individual provider · Type 1 NPI
Mark K. Thalacker, CNP
Nurse Practitioner · Woodbury, MN
Practice location
1875 Woodwinds Dr, Suite 130
Woodbury, MN 55125-2298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R096321-5 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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- Amy Weber, FNPNurse Practitioner Woodbury, MN NPI 1265001242
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About NPI 1063483493
Mark K. Thalacker, CNP's National Provider Identifier is 1063483493, issued on Feb 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodbury, MN. The record was last updated on Feb 26, 2024.