MRS. PAMELA S. THACKER RN. BSN PHN LCCE NPI 1013138403

NPI Information

  • NPI: 1013138403
  • Provider Name: MRS. PAMELA S. THACKER, R,N., BSN, PHN, LCCE
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 11484 B AVE
    AUBURN, CA
    ZIP 95603
  • Phone: (530) 886-3462

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NPI Details

MRS. Pamela S. Thacker, R,N., BSN, PHN, LCCE is a case management registered nurse in Auburn, CA. MRS. Pamela S. Thacker, R,N., BSN, PHN, LCCE NPI is 1013138403. 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:

11484 B AVE
AUBURN, CA
ZIP 95603-603
Phone: (530) 886-3462
Fax: (530) 889-7198

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management213977CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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