Individual
ANGELIQUE THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1964174
MN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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