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Contact Information

BROOKE A THACKER, CRNA, BSN, RN
375 DIXMYTH AVE
CINCINNATI, OH45220-2475
 Phone: 513-862-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BROOKE A THACKER · (Female)

NPI # 1184296170
Status Active
Credentials CRNA, BSN, RN
Entity Individual
Enumeration date 07/11/2021
Last updated 08/26/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 414355
  • OH License # APRN.CRNA.0020466
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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