Thibeault, Kathleen Anne

Thibeault, Kathleen Anne is an individual health care provider with primary practice located at 901 45Th St , West Palm Beach FL 33407-2413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Thibeault, Kathleen Anne can be contacted via phone (561) 840-3444.

Contact Information

Primary practice address
901 45Th St West Palm Beach FL 33407-2413
Phone: (561) 840-3444
Fax: (561) 840-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1392452 Florida

Profile Details

NPI number 1003867060
LBN Legal business name Thibeault, Kathleen Anne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 11th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003867060 NPPES
Florida Other G3833 BCBS
Florida MEDICAID 311868100 BCBS

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