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NPI Code Detail

MEDICARE: LINDSAY THATCHER CPNP

MEDICARE:   LINDSAY  THATCHER  CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAP138853TX
2363LP2300XPrimary Care Nurse PractitionerAP138853TX
3363LP0200XPediatric Nurse Practitioner95007180CA

General Provider Information

NPI Number : 1720581168
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY THATCHER CPNP
Provider Business Mailing Address
First Line : 801 7TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2733
Country : US
Telephone Number : 682-885-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W ROSEDALE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7403
Country : US
Telephone Number : 682-885-3426
Fax Number : 682-885-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 01/06/2026

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