Amanda Lee Thacker, FNP is a family nurse practitioner in Leesburg, VA with 2 years of experience. Amanda Lee Thacker, FNP NPI is 1114621810. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
19450 DEERFIELD AVENUE, SUITE 200
LEESBURG, VA
ZIP 20176-821
Phone: (703) 844-8380
Fax: (703) 263-8393
The NPI 1114621810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/28/2023 and was last updated on 3/6/2024.