Individual provider · Type 1 NPI

Mary Theresa Thibeault

Registered Nurse · Bethel, AK

NPI number 1710451190 Active

Practice location

Bethel Public Health Center, 1490 Eddie Hoffman Highway
Bethel, AK 99559

Call (907) 543-0442 Map

Fax (907) 543-0436

Mailing address

1490 Eddie Hoffman State Highway, PO Box 1048
Bethel, AK 99559-1048

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	NURR35276 (AK)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1710451190

Mary Theresa Thibeault's National Provider Identifier is 1710451190, issued on Jan 18, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bethel, AK. The record was last updated on Jan 18, 2019.