ASHLEY LILLY THACKER

SOUTH CHARLESTON, WV
NPI1679084628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  APRN71553-NP-C)
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
ASHLEY LILLY THACKER FNP-C
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-766-5650
Mailing Address
ASHLEY LILLY THACKER FNP-C
21 MICHAEL ST
SCOTT DEPOT, WV 25560-9534
Phone number: 304-228-7291
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