MRS. MOLLY ROE THIBODEAUX CFNP
NPI 1265767792
Nurse Practitioner - Family in Durango, CO
Active since October 16, 2009
1 MERCADO ST, SUITE 145 MERCY MEDICAL PLAZA, DURANGO, CO 81301(970) 247-5543 Get Directions Write a Review
About Mrs. Molly Roe Thibodeaux Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MOLLY ROE THIBODEAUX CFNP (NPI 1265767792) is an individual family provider in Durango, Colorado, licensed in Colorado (NP 10151) and active in the NPI registry since October 2009.
NPPES Registry Identity
NPI1265767792
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MOLLY ROE THIBODEAUXCredential: CFNP
Location Address1 MERCADO ST, SUITE 145 MERCY MEDICAL PLAZADurango, CO 81301-7306
Mailing Address135 Valley CtDurango, CO 81301-3744 · (970) 749-5901
Phone(970) 247-5543
Sole ProprietorYes
Enumeration DateOctober 16, 2009
✔ NPI 1265767792 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · NP 10151✔ Licensed in CO · 192552
1 MERCADO ST, Durango, CO 81301
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265767792, enumerated as an "individual" on October 16, 2009.
The provider is located at 1 MERCADO ST SUITE 145 MERCY MEDICAL PLAZA DURANGO, CO 81301 and the phone number is (970) 247-5543.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
