Individual
MARGO J THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 671-3225
(360) 671-0000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN60669959
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61369185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210016
—
WA
Enumeration date
01/05/2022
Last updated
11/24/2023
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