Individual provider · Type 1 NPI
Keith M. Thibault, NP
Nurse Practitioner · Oakland, CA
Practice location
275 W Macarthur
Oakland, CA 94611-5641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5122 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013078674
Keith M. Thibault, NP's National Provider Identifier is 1013078674, issued on Dec 13, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Nov 14, 2014.