Individual provider · Type 1 NPI
Adrienne Thibodeau, PA-C
Surgical Physician Assistant · Longmeadow, MA
NPI number
1780069310
Active
Practice location
722 Bliss Rd
Longmeadow, MA 01106-1557
Mailing address
12 Cherry Brook Ln
Suffield, CT 06078-1039
Other practice locations
- 841 Enfield St, Enfield, CT 06082-2970 · (860) 746-0007
- 271 Carew St, Springfield, MA 01104-2377 · (413) 748-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA5482 (MA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Longmeadow
About NPI 1780069310
Adrienne Thibodeau, PA-C's National Provider Identifier is 1780069310, issued on Jul 24, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Longmeadow, MA. The record was last updated on Jul 6, 2026.