Individual provider · Type 1 NPI

Robert Slade Thacker, APRN CFNP

Family Nurse Practitioner · Caldwell, ID

NPI number 1124309224 Active

Practice location

712 Aviation Way
Caldwell, ID 83605-1154

Call (208) 302-7100 Map

Fax (208) 302-7155

Mailing address

1906 Fairview Ave, Ste. 230
Caldwell, ID 83605-5407

Other practice locations

  • 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605-5407 · (208) 459-4667

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1096A (ID)

Family Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1124309224

Robert Slade Thacker, APRN CFNP's National Provider Identifier is 1124309224, issued on Sep 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Caldwell, ID. The record was last updated on Aug 7, 2025.