Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark K Thalacker, CNP

Individual provider Nurse Practitioner · NPI 1063483493

Mark K Thalacker, CNP is a Nurse Practitioner in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1875 Woodwinds Dr Ste 130
Woodbury, MN 55125-2298
Phone: (651) 232-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R096321-5 (MN)

Record details

NPI number1063483493
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

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