Individual provider · Type 1 NPI

Reeba Thankachan, NP

Family Nurse Practitioner · Clay, NY

NPI number 1508319369 Active

Practice location

5301 Barcaldine Dr
Clay, NY 13041-6913

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF340807-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1508319369

Reeba Thankachan, NP's National Provider Identifier is 1508319369, issued on Jul 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clay, NY. The record was last updated on Jul 28, 2016.