Individual
MISS NANETTE MARIE THIBADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST., SUITE 120, SYRACUSE, NY 13210
(315) 426-3600
(315) 426-3605
Mailing address
1012 W COLVIN ST, SYRACUSE, NY 13207-1915
(315) 935-6669
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
812343
NY
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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