Provider Demographics
NPI:1902982903
Name:THATCHER, ANNE M (APRN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:THATCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 706
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-0706
Mailing Address - Country:US
Mailing Address - Phone:603-481-8757
Mailing Address - Fax:603-238-2163
Practice Address - Street 1:103 BOULDER POINT DRIVE
Practice Address - Street 2:SPEARE PRIMARY CARE
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264
Practice Address - Country:US
Practice Address - Phone:603-536-1181
Practice Address - Fax:603-238-2198
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH026825-23-03363LF0000X
NH026825-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1021535Medicaid
NH026825-23-03OtherARNP - FNP LICENSE
NH026825-21OtherRN LICENSE
NH3078893Medicaid
NH3078893Medicaid
NH026825-21OtherRN LICENSE
NP4979Medicare UPIN