Individual provider · Type 1 NPI

Ashley M. Thalacker, FNP-BC

Family Nurse Practitioner · Leesburg, VA

NPI number 1346641529 Active

Practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Fax (703) 858-6797

Mailing address

19993 Presidents Cup Ter
Ashburn, VA 20147-4117

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024171955 (VA)
Family Nurse Practitioner Primary 363LF0000X0024171955 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1346641529

Ashley M. Thalacker, FNP-BC's National Provider Identifier is 1346641529, issued on Sep 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, VA. The record was last updated on Jun 12, 2024.