Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY THALACKER
ActiveKELLY THALACKER is a Gerontological Nurse Practitioner healthcare provider located in EASTON, Pennsylvania. NPI 1184263451 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · EASTON, PA
Registration Details
- NPI Number
- 1184263451
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2020 (6.6558675617829 yrs)
- Last Updated
- Apr 14, 2020
- Licenses
-
SP020519 (PA)SP020519 (PA)
Practice Information
- Address
-
41 CORPORATE DR # 101EASTON, PA, 180452670Browse PA providers · Browse ZIP 18045
- Phone
- 6105599330
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in EASTON, PA
| Name | Credential | NPI |
|---|---|---|
| SANDRA L EWING | NP | 1285148619 |
| REBECCA L DEJESUS | — | 1104305887 |
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.