Individual provider · Type 1 NPI
Christa D. Thalacker, NP
Pediatric Nurse Practitioner · Milwaukee, WI
NPI number
1760742142
Active
Practice location
9000 W Wisconsin Ave, Pediatric Orthopaedic Surgery
Milwaukee, WI 53226-4874
Fax (414) 337-7337
Other practice locations
- 3195 Hillside Dr, Delafield, WI 53018-2189 · (414) 266-5432
- 3365 S 103rd St, Milwaukee, WI 53227-4161 · (414) 955-2600
- 2575 E Evergreen Drive, Appleton, WI 54913-8904 · (414) 337-7300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 156298 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1760742142
Christa D. Thalacker, NP's National Provider Identifier is 1760742142, issued on May 21, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 14, 2023.