Individual
SHELLY A THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 AVIS DR, CLINTON, ME 04927-3728
(207) 426-6060
Mailing address
16 BIRCH LN, LIBERTY, ME 04949-3354
(207) 314-0736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN66548
ME
Other
Enumeration date
05/18/2016
Last updated
05/02/2017
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