Provider Demographics
NPI:1609679638
Name:THATCHER, SANDIE LEE
Entity type:Individual
Prefix:
First Name:SANDIE
Middle Name:LEE
Last Name:THATCHER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-3808
Mailing Address - Country:US
Mailing Address - Phone:775-685-3416
Mailing Address - Fax:
Practice Address - Street 1:433 WRIGHT WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5108
Practice Address - Country:US
Practice Address - Phone:775-685-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide