Individual provider · Type 1 NPI

Kate G. Thibodeaux, FNPC

Nurse Practitioner · Old Town, ME

NPI number 1376217075 Active

Practice location

242 Brunswick St
Old Town, ME 04468-1613

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCNP211240 (ME)

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 1376217075

Kate G. Thibodeaux, FNPC's National Provider Identifier is 1376217075, issued on Aug 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Old Town, ME. The record was last updated on Oct 7, 2021.