Female

Mrs. Ellen T. Thatcher ARNP-C

Gerontology Nurse Practitioner in Bay Pines, FL(View on Map)

Full Name

Mrs. Ellen Tracy Thatcher ARNP-C

NPI Number

1801995949

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/22/2006

Specialties

(Taxonomies)

Code

363LG0600X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ARNP2793512

Contact
Information

Purpose

Mailing
Location

Address

7028 40TH AVE N
10000 BAY PINES BLVD

City

St Petersburg
Bay Pines

State

FL
FL

Postal Code

33709-4612
33744

Country

US
US

Telephone Number

N/A
(727) 398-6661

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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