Karen Lynne Thibodeau, | |
2907 Country River Dr, Parrish, FL 34219-8418 | |
(941) 713-7293 | |
Not Available |
Full Name | Karen Lynne Thibodeau |
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Gender | Female |
Speciality | Registered Nurse |
Location | 2907 Country River Dr, Parrish, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528442654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | ARNP3172922 (Florida) | Primary |
163W00000X | Registered Nurse | RN3172922 (Florida) | Secondary |
Entity Name | Kidney Disease Consultants Of Bradenton Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609982214 PECOS PAC ID: 7012001696 Enrollment ID: O20070913000818 |
Mailing Address | Practice Location Address |
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Karen Lynne Thibodeau, 2907 Country River Dr, Parrish, FL 34219-8418 Ph: (941) 713-7293 | Karen Lynne Thibodeau, 2907 Country River Dr, Parrish, FL 34219-8418 Ph: (941) 713-7293 |
Lori Fauquier, Registered Nurse Medicare: Medicare Enrolled Practice Location: 11672 Little River Way, Parrish, FL 34219 Phone: 845-464-4051 | |
Christopher Lumia, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9799 50th Street Cir E, Parrish, FL 34219 Phone: 757-561-3719 | |
Shannon Deckman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5540 107th Ter E, Parrish, FL 34219 Phone: 215-620-0589 |