SARAH E THIBODEAU APRN NPI 1285963959

NPI Information

NPI: 1285963959
Provider Name: SARAH E THIBODEAU, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
195 EASTERN BLVD STE 201
GLASTONBURY, CT
ZIP 06033
Phone: (860) 246-4260
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Sarah E Thibodeau, APRN is a family nurse practitioner in Glastonbury, CT with 15 years of experience. Sarah E Thibodeau, APRN NPI is 1285963959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

195 EASTERN BLVD STE 201
GLASTONBURY, CT
ZIP 06033
Phone: (860) 246-4260

The NPI 1285963959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 6/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		004270	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	004270	CONNECTICUT	Yes
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	004270	CONNECTICUT	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1285963959	OTHER	CONNECTICUT	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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