Dr David Thibault, DNP, FNP-BC, PMHS | |
640 E 700 S Ste 205a, St George, UT 84770-4023 | |
(435) 772-2633 | |
Not Available |
Full Name | Dr David Thibault |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 640 E 700 S Ste 205a, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306562541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11146586-4405 (Utah) | Primary |
Entity Name | St. George Children & Family Psychiatric Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225326044 PECOS PAC ID: 5294906855 Enrollment ID: O20110913000076 |
Mailing Address | Practice Location Address |
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Dr David Thibault, DNP, FNP-BC, PMHS 2779 S 3350 W, Hurricane, UT 84737-3540 Ph: (435) 772-2633 | Dr David Thibault, DNP, FNP-BC, PMHS 640 E 700 S Ste 205a, St George, UT 84770-4023 Ph: (435) 772-2633 |
Mr. Brooks Wiley, FPMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 N 1680 E Ste H1, St George, UT 84790 Phone: 435-652-1897 | |
Beau Jay Kunzler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S Medical Center Dr, St George, UT 84790 Phone: 435-251-4900 | |
Brookanne J Mickelson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 N 200 E Ste 2a, St George, UT 84770 Phone: 435-688-7246 Fax: 435-688-1363 | |
Heather Rose Bandle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2162 E 2800 S, St George, UT 84790 Phone: 435-268-2363 Fax: 435-215-2563 | |
Christopher Ray Andrew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 | |
Carole Ann Grady, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 S Bluff St, St George, UT 84770 Phone: 435-674-9933 | |
William Bentley Christensen, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N 100 E Ste 102, St George, UT 84770 Phone: 435-986-2565 |