Individual provider · Type 1 NPI

Nanette Marie Thibado, RN

Psychiatric/Mental Health Registered Nurse · Syracuse, NY

NPI number 1073407060 Active

Practice location

620 Madison St., Suite 120
Syracuse, NY 13210

Call (315) 426-3600 Map

Fax (315) 426-3605

Mailing address

1012 W Colvin St
Syracuse, NY 13207-1915

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X812343 (NY)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1073407060

Nanette Marie Thibado, RN's National Provider Identifier is 1073407060, issued on Jun 5, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Syracuse, NY. The record was last updated on Jun 5, 2025.