Mark K. Thalacker, CNP
Nurse Practitioner · Woodbury, MN
UnclaimedCNPNPI 1063483493
- Primary taxonomy
- 363L00000X
- Enumerated
- 2006-02-01
- Practice location
- Woodbury, MN
- Last NPPES update
- 2024-02-26
State licenses
- MN · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.