Thatcher, Amy L

Thatcher, Amy L is an individual health care provider with primary practice located at 12900 Cortez Blvd Ste 102 , Brooksville FL 34613-6897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thatcher, Amy L can be contacted via phone (352) 596-7660.

Contact Information

Primary practice address
12900 Cortez Blvd Ste 102 Brooksville FL 34613-6897
Phone: (352) 596-7660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3413752 Florida

Profile Details

NPI number 1215055736
LBN Legal business name Thatcher, Amy L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215055736 NPPES
Florida Other MT926 MEDICARE
Florida MEDICAID 013381600 MEDICARE

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