Nutty, Kirsten Ann Thibodeau
Nutty, Kirsten Ann Thibodeau is an individual health care provider with primary practice located at 1001 Main St Fl 4 , Buffalo NY 14203-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Nutty, Kirsten Ann Thibodeau can be contacted via phone (716) 323-0110.Contact Information
Primary practice address
1001 Main St Fl 4
Buffalo NY 14203-1009
Phone: (716) 323-0110
Fax: (716) 323-0296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | 382142 | New York |
Profile Details
| NPI number | 1861706335 |
|---|---|
| LBN Legal business name | Nutty, Kirsten Ann Thibodeau |
| Credentials | LNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2010 |
| Last updated | Jan 13th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861706335 | NPPES |
| New York | MEDICAID | 03351782 |
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