Individual
AMANDA H THIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
177950
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
177950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357685
—
MA
01
—
39176
HARVARD PILGRIM
MA
01
—
NP9991
BLUE CROSS
MA
Enumeration date
03/08/2006
Last updated
03/08/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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