Individual provider · Type 1 NPI

Amanda Lee Thacker, FNP

Family Nurse Practitioner · Leesburg, VA

NPI number 1114621810 Active

Practice location

19450 Deerfield Avenue, Suite 200
Leesburg, VA 20176-6821

Call (703) 844-8380 Map

Fax (703) 263-8393

Mailing address

224-D Cornwall St., NW, Suite 403
Leesburg, VA 20176-2704

Other practice locations

  • 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 · (703) 698-9400

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024185322 (VA)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1114621810

Amanda Lee Thacker, FNP's National Provider Identifier is 1114621810, issued on Mar 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, VA. The record was last updated on Mar 6, 2024.