Individual
KAREN LYNNE THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 COUNTRY RIVER DR, PARRISH, FL 34219-8418
(941) 713-7293
Mailing address
2907 COUNTRY RIVER DR, PARRISH, FL 34219-8418
(941) 713-7293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP3172922
FL
163W00000X
Registered Nurse
RN3172922
FL
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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