Individual provider · Type 1 NPI

Ellen Tracy Thatcher, ARNP-C

Gerontology Nurse Practitioner · Bay Pines, FL

NPI number 1801995949 Active

Practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744

Mailing address

7028 40th Ave N
St. Petersburg, FL 33709-4612

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XARNP2793512 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1801995949

Ellen Tracy Thatcher, ARNP-C's National Provider Identifier is 1801995949, issued on Sep 22, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bay Pines, FL. The record was last updated on Jul 8, 2007.