Individual provider · Type 1 NPI

Madison Tacker, LPN

Licensed Practical Nurse · Manchester, NH

NPI number 1124532379 Active

Practice location

3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109

Fax (800) 995-2673

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X025.0133125 (VT)
Licensed Practical Nurse Primary 164W00000XL058032 (AR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

68 other providers at this address

Other licensed practical nurse providers in Manchester

See all in Manchester →

About NPI 1124532379

Madison Tacker, LPN's National Provider Identifier is 1124532379, issued on Nov 27, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manchester, NH. The record was last updated on Nov 27, 2017.