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Ashley Marie Thibodeau
Nurse Practitioner in Royal Oak, Michigan
NPI 1396275582

Ashley Marie Thibodeau is a Nurse Practitioner based in Southfield, MI. Ashley Marie Thibodeau practices in Royal Oak, MI. The NPI Number for Ashley Marie Thibodeau is 1396275582 and holds a License No. 4704293510 (Michigan).

The current practice location address for Ashley Marie Thibodeau is 3555 W 13 Mile Rd # N300, Royal Oak, MI and can be reached out via phone at 248-551-3302 and via fax at 248-551-7373.

Location: 3555 W 13 Mile Rd # N300, Royal Oak, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396275582
Provider Name
Ashley Marie Thibodeau
Credential
Provider Entity Type
Individual
Gender
Female
Address
3555 W 13 Mile Rd # N300, Royal Oak, MI, 48033-3849
Phone Number
248-551-3302
Fax Number
248-551-7373
Provider Enumeration Date
06/19/2017
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
3555 W 13 Mile Rd # N300
City
Royal Oak
State
Michigan
Zip
48073-6710
Phone Number
248-551-3302
Fax Number
248-551-7373
person
Provider Business Mailing Address Details
Address
3555 W 13 Mile Rd # N300
City
Royal Oak
State
Michigan
Zip
48073-6710
Phone Number
248-551-3302
Fax Number
248-551-7373
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
AP60810818 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704293510 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704293510 (Michigan)
Definition
Definition to come...
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