| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIA THATCHER | 1548084262 | 2024-11-09 |
Mia Thatcher is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548084262. Registration indicates Mia Thatcher is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Mia Thatcher |
| Practice Office Address | 3535 OLENTANGY RIVER RD COLUMBUS, OH US |
| Practice Office Telephone | 6145665000 |
| Mailing Address | 130 WYCKSHIRE DR PATASKALA, OH 430627345 US |
| Business Telephone | 6149350140 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 111 S Grant Ave | Columbus, OH 432154701 | 6145669000 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |