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Contact Information

SUSAN M THIBEAULT, CRNA, APRN
326 WASHINGTON STREET
NORWICH, CT18764
 Phone: 860-889-8331
 Fax: 703-766-9725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SUSAN M THIBEAULT · (Female)

NPI Number 1598771313
Status Active
Credentials CRNA, APRN
Entity Individual
Enumeration date 08/01/2006
Last updated 03/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003212
  • CT License # 3212
  • CT Medicaid 004250403
Hospital affiliation(s)
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
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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