Individual provider · Type 1 NPI

Amanda Thibodeau, RN, PHN

Registered Nurse · St. Paul, MN

NPI number 1912463480 Active

Practice location

555 Cedar St
St. Paul, MN 55101-2209

Call (651) 266-1241 Map

Fax (651) 266-1201

Mailing address

1583 Arcade St
St. Paul, MN 55106-1051

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2130295 (MN)

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 1912463480

Amanda Thibodeau, RN, PHN's National Provider Identifier is 1912463480, issued on Feb 20, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Paul, MN. The record was last updated on Feb 20, 2019.