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Mr. Caleb Adam Thibeault, NP-C
Adult Health Nurse Practitioner in Avon Lake, Ohio
NPI 1619500998

Caleb Adam Thibeault is an Adult Health Nurse Practitioner based in Avon Lake, OH and is specialized in Adult Health. Caleb Adam Thibeault practices in Avon Lake, OH and has the professional credentials of NP-C. The NPI Number for Caleb Adam Thibeault is 1619500998 and holds a License No. 026292 (Ohio).

The current practice location address for Caleb Adam Thibeault is 31741 Leeward Ct, Avon Lake, OH and can be reached out via phone at 603-303-7715.

Location: 31741 Leeward Ct, Avon Lake, OH, 44012-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619500998
Provider Name
Caleb Adam Thibeault
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
31741 Leeward Ct, Avon Lake, OH, 44012-2927
Phone Number
603-303-7715
Fax Number
Provider Enumeration Date
02/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31741 Leeward Ct
City
Avon Lake
State
Ohio
Zip
44012-2927
Phone Number
603-303-7715
Fax Number
person
Provider Business Mailing Address Details
Address
31741 Leeward Ct
City
Avon Lake
State
Ohio
Zip
44012-2927
Phone Number
603-303-7715
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
026292 (Ohio)
Definition
Definition to come...
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