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Michelle Lee Thibeault
Licensed Practical Nurse in Merritt Island, Florida
NPI 1821180548

Michelle Lee Thibeault is a Licensed Practical Nurse based in Merritt Island, FL. Michelle Lee Thibeault practices in Merritt Island, FL. The NPI Number for Michelle Lee Thibeault is 1821180548 and holds a License No. PN5171283 (Florida).

The current practice location address for Michelle Lee Thibeault is 2575 N Courtenay Pkwy, Merritt Island, FL and can be reached out via phone at 321-639-5787 and via fax at 321-639-5762.

Location: 2575 N Courtenay Pkwy, Merritt Island, FL, 32953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821180548
Provider Name
Michelle Lee Thibeault
Credential
Provider Entity Type
Individual
Gender
Female
Address
2575 N Courtenay Pkwy, Merritt Island, FL, 32953
Phone Number
321-639-5787
Fax Number
321-639-5762
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3120688600 05 FL
institution
Provider Business Practice Location Address Details
Address
2575 N Courtenay Pkwy
City
Merritt Island
State
Florida
Zip
32953
Phone Number
321-639-5787
Fax Number
321-639-5762
person
Provider Business Mailing Address Details
Address
2575 N Courtenay Pkwy
City
Merritt Island
State
Florida
Zip
32953
Phone Number
321-639-5787
Fax Number
321-639-5762
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5171283 (Florida)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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