Individual provider · Type 1 NPI

Taylor Thibodeau

Nurse Practitioner · Manchester, NH

NPI number 1093606386 Active

Practice location

100 Mcgregor St
Manchester, NH 03102-3730

Call (603) 668-3545 Map

Mailing address

8 Lynwood Rd
Raymond, NH 03077-1877

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X077142-21 (NH)
Nurse Practitioner Primary 363L00000X077142-23 (NH)

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 1093606386

Taylor Thibodeau's National Provider Identifier is 1093606386, issued on Jul 14, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manchester, NH. The record was last updated on Jul 31, 2025.