MICHELLE LEE THIBEAULT
NPI 1821180548
Licensed Practical Nurse in Merritt Island, FL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 29, 2006

2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953(321) 639-5787(321) 639-5762 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michelle Lee Thibeault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LEE THIBEAULT (NPI 1821180548) is an individual licensed practical nurse in Merritt Island, Florida, licensed in Florida (PN5171283) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1821180548

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMICHELLE LEE THIBEAULT

Location Address2575 N COURTENAY PKWYMerritt Island, FL 32953

Mailing Address2575 N Courtenay PkwyMerritt Island, FL 32953 · (321) 639-5787 · Fax (321) 639-5762

Phone(321) 639-5787

Fax(321) 639-5762

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821180548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN5171283

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2575 N COURTENAY PKWY, Merritt Island, FL 32953

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