Individual provider · Type 1 NPI
Lisa Thayer, AGPCNP-BC
Nurse Practitioner · Minnetonka, MN
Practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
155R Guilford Rd
Durham, CT 06422-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6214 (CT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1952774093
Lisa Thayer, AGPCNP-BC's National Provider Identifier is 1952774093, issued on Nov 12, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minnetonka, MN. The record was last updated on Feb 1, 2021.