Individual
MS. MOLLY THIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 386-3061
Mailing address
3335 HOLMES AVE, MINNEAPOLIS, MN 55408-3460
(612) 386-3061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-175421-6
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
111895
MN
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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