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Contact Information

NICOLE THIBODEAU, RN
3726 SAVANNA PALMS CT
LAKEWOOD RANCH, FL34211-2468
 Phone: 941-444-9515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Case Management

163WC0400X
 

Registered Nurse

163W00000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for NICOLE THIBODEAU · (Female)

NPI # 1154181659
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/21/2024
Last updated 03/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9614689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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