Individual
MRS. MOLLY ROE THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1 MERCADO ST, SUITE 145 MERCY MEDICAL PLAZA, DURANGO, CO 81301-7306
(970) 247-5543
Mailing address
135 VALLEY CT, DURANGO, CO 81301-3744
(970) 749-5901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
192552
CO
363LF0000X
Family Nurse Practitioner
Primary
NP 10151
CO
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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