Individual
NICOLE MAE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1640 S OAKWOOD RD, OSHKOSH, WI 54904-8347
(920) 410-9352
Mailing address
1640 S OAKWOOD RD, OSHKOSH, WI 54904-8347
(920) 410-9352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174033-30
WI
163WC0400X
Case Management Registered Nurse
Primary
174033-30
WI
Other
Enumeration date
11/22/2011
Last updated
04/10/2025
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