Thibodeau, Lisa Ellen

Thibodeau, Lisa Ellen is an individual health care provider with primary practice located at 85 Herrick St North Shore Birth Center, Beverly MA 01915-1790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Thibodeau, Lisa Ellen can be contacted via phone (978) 927-7880.

Contact Information

Primary practice address
85 Herrick St North Shore Birth Center Beverly MA 01915-1790
Phone: (978) 927-7880
Fax: (978) 524-6082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN239148 Massachusetts

Profile Details

NPI number 1316382120
LBN Legal business name Thibodeau, Lisa Ellen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2013
Last updated Feb 5th, 2018 - about 7 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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