Mary Theresa Thibeault

NPI #1710451190 in Bethel, Alaska

Provider Information

NPI Number: 1710451190
Entity Type: Individual
Name: Mary Theresa Thibeault
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jan 18, 2019
Last Updated: Jan 18, 2019

Practice Location

Address: BETHEL PUBLIC HEALTH CENTER
Address 2: 1490 EDDIE HOFFMAN HIGHWAY
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-0442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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