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Samuel J Thibodeaux, CRNA
Certified Registered Nurse Anesthetist in Ukiah, California
NPI 1578544516

Samuel J Thibodeaux is a Certified Registered Nurse Anesthetist based in Reno, CA. Samuel J Thibodeaux practices in Ukiah, CA and has the professional credentials of CRNA. The NPI Number for Samuel J Thibodeaux is 1578544516 and holds a License No. D105288 (California).

The current practice location address for Samuel J Thibodeaux is 271 Observatory Ave, Ukiah, CA and can be reached out via phone at 707-462-0681.

Location: 271 Observatory Ave, Ukiah, CA, 89533-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578544516
Provider Name
Samuel J Thibodeaux
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
271 Observatory Ave, Ukiah, CA, 89533-4120
Phone Number
707-462-0681
Fax Number
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39651 01 IA WELLMARK BCBS
0469627 05 IA
institution
Provider Business Practice Location Address Details
Address
271 Observatory Ave
City
Ukiah
State
California
Zip
95482-5757
Phone Number
707-462-0681
Fax Number
person
Provider Business Mailing Address Details
Address
271 Observatory Ave
City
Ukiah
State
California
Zip
95482-5757
Phone Number
707-462-0681
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
D105288 (Iowa)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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