Provider Demographics
NPI:1215734009
Name:THAYER, CAROL ANNETTE
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANNETTE
Last Name:THAYER
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 1:2723 FAIRVIEW CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-8901
Mailing Address - Country:US
Mailing Address - Phone:859-446-1513
Mailing Address - Fax:
Practice Address - Street 1:2723 FAIRVIEW CT
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-8901
Practice Address - Country:US
Practice Address - Phone:859-446-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care