Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK K THALACKER, CNP
ActiveMARK K THALACKER, CNP is a Nurse Practitioner healthcare provider located in WOODBURY, Minnesota. NPI 1063483493 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WOODBURY, MN
Registration Details
- NPI Number
- 1063483493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2006 (20.490048722346 yrs)
- Last Updated
- Feb 26, 2024
- License
-
R096321-5 (MN)
Practice Information
- Address
-
1875 WOODWINDS DRSUITE 130WOODBURY, MN, 551252298Browse MN providers · Browse ZIP 55125
- Phone
- 6512320500
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in WOODBURY, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL PAUL SPIELMAN | APRN, CNP | 1063413250 |
| MARGARET ROSE HALVORSEN | WHNP | 1457323461 |
| PATRICIA O JENSEN | NP | 1538122841 |
| JILL R TOLIVER | CNP | 1518923499 |
| VELMA ANN GRIGGS | RN CNP | 1326061193 |
| IRMA JOHANNA VAN DER VALK | NP | 1982718896 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.