Most Relevant Information
Provider Data
| NPI Number: | 1003633538 |
| Provider Name: | EMILY CATHERINE THIBEAULT RN-BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN85302 |
Most Important Dates
| Enumeration Date: | 09/25/2024 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
12 BOLDUC AVE
FORT KENT
ME
047431602
Practice Location Phone/Fax
| Phone: | 2078343971 |
| Fax: | 2078343837 |
Provider Mailing Location
PO BOX 309
EAGLE LAKE
ME
047390309
Provider Mailing Phone/Fax
| Phone: | 2074445973 |
| Fax: | 2074445520 |