Edna Thacker
Edna Thacker is a Community Health Worker in Wayne, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3733 Left Fork Millers Fork RdWayne, WV 25570-5345
Phone: (304) 849-5034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1609542281 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
| Mailing address | 3733 Left Fork Millers Fork Rd, Wayne, WV 25570-5345 |
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