MR. PATRICK ROLAND THIBEAULT NPI 1437392834

NPI Information

NPI: 1437392834
Provider Name: MR. PATRICK ROLAND THIBEAULT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
14018 S ANNAPOLIS CT
CEDAR LAKE, IN
ZIP 46303
Phone: (219) 765-9141
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MR. Patrick Roland Thibeault is a family nurse practitioner in Cedar Lake, IN. MR. Patrick Roland Thibeault NPI is 1437392834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14018 S ANNAPOLIS CT
CEDAR LAKE, IN
ZIP 46303-283
Phone: (219) 765-9141

The enumeration date for this NPI number is 4/14/2009 and was last updated on 5/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28143935A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71002960A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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