Healthcare Provider Details

I. General information

NPI: 1154945376
Provider Name (Legal Business Name): WILLIAM JOSEPH THATCHER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BAUGHER DR
HANOVER PA
17331-4006
US

IV. Provider business mailing address

200 BAUGHER DR
HANOVER PA
17331-4006
US

V. Phone/Fax

Practice location:
  • Phone: 814-538-9645
  • Fax:
Mailing address:
  • Phone: 814-538-9645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP022244
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: