TIMOTHY THACKER

ZANESVILLE, OH
NPI1437134376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  COA.00754-NA)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  139495)
Enumeration Date2005-12-14
Last Update Date2009-06-04
Business Address
-- TIMOTHY THACKER CRNA
2951 MAPLE AVENUE
ZANESVILLE, OH 43701-1406
Phone number: 740-387-6193
Mailing Address
-- TIMOTHY THACKER CRNA
945 BETHESDA DRIVE 200B
ZANESVILLE, OH 43701-1406
Phone number: 740-455-4937