Individual provider · Type 1 NPI

Molly Roe Thibodeaux, CFNP

Family Nurse Practitioner · Durango, CO

NPI number 1265767792 Active

Practice location

1 Mercado St, Suite 145 Mercy Medical Plaza
Durango, CO 81301-7306

Mailing address

135 Valley Ct
Durango, CO 81301-3744

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP 10151 (CO)
Family Nurse Practitioner 363LF0000X192552 (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1265767792

Molly Roe Thibodeaux, CFNP's National Provider Identifier is 1265767792, issued on Oct 16, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Durango, CO. The record was last updated on Oct 16, 2009.