Taryn C Thibeault, FNP | |
13031 Lee Jackson Hwy, Fairfax, VA 22033-2050 | |
(866) 389-2727 | |
Not Available |
Full Name | Taryn C Thibeault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 13031 Lee Jackson Hwy, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295935559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024167430 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of Virginia Llc | 6709960891 | 150 |
Minuteclinic Diagnostic Of Virginia Llc | 6709960891 | 150 |
Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20090123000189 |
Mailing Address | Practice Location Address |
---|---|
Taryn C Thibeault, FNP 6314 Buffie Ct, Burke, VA 22015-3401 Ph: (703) 455-5052 | Taryn C Thibeault, FNP 13031 Lee Jackson Hwy, Fairfax, VA 22033-2050 Ph: (866) 389-2727 |
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