Individual provider · Type 1 NPI
Tessa Thibodeaux, AGACNP
Critical Care Medicine Nurse Practitioner · Montrose, CO
NPI number
1568071108
Active
Practice location
800 S 3rd St
Montrose, CO 81401-4212
Fax (970) 240-7723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | C-APN.0100139-C-NP (CO) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | AP144923 (TX) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1568071108
Tessa Thibodeaux, AGACNP's National Provider Identifier is 1568071108, issued on Jul 29, 2020. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Montrose, CO. The record was last updated on Apr 30, 2024.