Individual provider · Type 1 NPI
Mia Laisa Thibault, FNP-C
Nurse Practitioner · Las Vegas, NV
Practice location
2800 N Tenaya Way, Suite 101
Las Vegas, NV 89128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 860389 (NV) |
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 1144946013
Mia Laisa Thibault, FNP-C's National Provider Identifier is 1144946013, issued on Oct 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 18, 2023.