Individual
MRS. COURTNEY LYNN THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1 EVERGREEN DR, EAST PROVIDENCE, RI 02914-1506
(401) 438-3250
Mailing address
PO BOX 2153 DEPT 40338, BIRMINGHAM, AL 35287-9386
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN01781
RI
363LA2200X
Adult Health Nurse Practitioner
RN2274057
MA
Other
Enumeration date
01/28/2018
Last updated
12/05/2023
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