Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN IRENE THACKER, CNP
Active Sole ProprietorNurse Practitioner · MIAMISBURG, OH
Registration Details
- NPI Number
- 1619302791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2013 (12.628144946327 yrs)
- Last Updated
- Nov 17, 2020
- License
-
COA.14947-NP (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4000 MIAMISBURG CENTERVILLE RDSUITE 110MIAMISBURG, OH, 453427615Browse OH providers · Browse ZIP 45342
- Phone
- 9378659000
- Fax
- 9378659002
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in MIAMISBURG, OH
| Name | Credential | NPI |
|---|---|---|
| JODY L UNDERWOOD | NP | 1558565853 |
| CHARITY NICHOLE DEARMOND | — | 1629326657 |
| MOLLY GETZ | CNP | 1821543943 |
| YOLONDA M KELLY | NP | 1174041149 |
| MEGHAN LEE WESTOVER | — | 1912490244 |
| YOLANDA MARIE BROWN | CNP | 1386107134 |
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.