Individual provider · Type 1 NPI
Patrechi Thayer, 95003354
Family Nurse Practitioner · Loma Linda, CA
NPI number
1861851339
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Mailing address
6787 Knoll Ct
Hesperia, CA 92345-4869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95003354 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861851339
Patrechi Thayer, 95003354's National Provider Identifier is 1861851339, issued on Feb 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loma Linda, CA. The record was last updated on Feb 12, 2016.