Individual
MRS. CASSANDRA BABSON THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
792 COLLEGE PKWY, SUITE 302, COLCHESTER, VT 05446-3052
(802) 655-4900
Mailing address
792 COLLEGE PKWY, SUITE 302, COLCHESTER, VT 05446-3052
(802) 655-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0073570
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101.0073570
VERMONT LICENSE
VT
Enumeration date
01/18/2011
Last updated
01/18/2011
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