Keith M. Thibault in Oakland - Nurse Practitioner

Keith M. Thibault - NPI 1013078674

Keith M. Thibault is a Nurse Practitioner in Oakland, California. Keith M. Thibault practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Keith M. Thibault is 1013078674. The last update date is 2014-11-14.

Keith M. Thibault's current location address is 275 W Macarthur, Oakland, California. You can contact this provider via phone number 5107521000. The mailing address for Keith M. Thibault is 275 W Macarthur, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith M. Thibault
Address 275 W Macarthur, Oakland, California
Phone Number 5107521000
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1013078674
Provider Enumeration Date 2006-12-13
Last Updated Date 2014-11-14

Provider Mailing Address Detail

Address 275 W Macarthur
City Oakland
State California (CA)
Post Code 946115641
Phone Number 5107521000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 5122
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Keith M. Thibault

What is the unique identifier code issued to Keith M. Thibault by the Centers for Medicare & Medicaid Services?

The Keith M. Thibault has been assigned the NPI (National Provider Identifier) 1013078674. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Keith M. Thibault's facilities are geographically located?

The facilities of Keith M. Thibault are physically situated at the following location: 275 W Macarthur, Oakland, CA, 946115641.

What is Keith M. Thibault's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Keith M. Thibault is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did the Keith M. Thibault receive its 1013078674 assignment from the Centers for Medicare & Medicaid Services?

The Keith M. Thibault was assigned its 1013078674 by the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date was the information pertaining to Keith M. Thibault, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Keith M. Thibault, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-11-14.

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