Active NPIIndividual provider

Kate G Thibodeaux, FNPC

Nurse Practitioner in Old Town, Maine

NPI Number1376217075
Practice location
242 Brunswick St, Old Town, ME 04468-1613
Fax
—
Last updated
October 7, 2021

Kate G Thibodeaux is a Nurse Practitioner based in Old Town, ME. Kate G Thibodeaux practices in Old Town, ME and has the professional credentials of FNPC. The NPI Number for Kate G Thibodeaux is 1376217075 and holds a License No. CNP211240 (ME). The current practice location address for Kate G Thibodeaux is 242 Brunswick St, Old Town, ME 04468-1613 and can be reached out via phone at 207-827-6128.

Provider Profile Details

NPI Number
1376217075
Provider Name
Kate G Thibodeaux
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
242 Brunswick St, Old Town, ME 04468-1613
Phone Number
207-827-6128
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
Kate Pomeroy (Former Name)
Provider Enumeration Date
August 5, 2021
Last Update Date
October 7, 2021
Certification Date
October 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Brunswick St
Old Town, ME 04468-1613
State
Maine
Zip
04468-1613
Phone Number
207-827-6128
Old Town, ME 04468Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-404-8200

License Information

License Number
CNP211240
License State
ME
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kate G Thibodeaux, FNPC?

The NPI number of Kate G Thibodeaux, FNPC is 1376217075. It was assigned on August 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Kate G Thibodeaux, FNPC?

Kate G Thibodeaux, FNPC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in ME under license number CNP211240.

Where does Kate G Thibodeaux, FNPC practice?

The practice location is 242 Brunswick St, Old Town, ME 04468-1613. The office can be reached at 207-827-6128 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376217075 directly on the NPPES registry website.

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