AMANDA THACKER, FNP

Nurse Practitioner - Family

Active Individual
NPI: 1114621810

Practice Address

19450 DEERFIELD AVENUE, SUITE 200
Leesburg, VA 20176

Phone: (703) 844-8380

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 0024185322 (VA)

Frequently Asked Questions

NPI 1114621810 is the National Provider Identifier for AMANDA THACKER, FNP, a Nurse Practitioner - Family provider located in Leesburg, VA. This NPI was enumerated on March 28, 2023.
AMANDA THACKER, FNP practices at 19450 DEERFIELD AVENUE, SUITE 200, Leesburg, VA 20176.

Quick Facts

NPI
1114621810
Type
Individual
Enumerated
Mar 28, 2023
Last Updated
Mar 6, 2024

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