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Search › New Jersey › Pediatric Nurse Practitioner

Kelly Thibault, CRNP

NPI 1730597360 · on the registry since 2014 · sole proprietor

Practice

Address
201 Lyons Ave
Newark, NJ 07112
Phone
(973) 926-7000
Organisation at this address
Vera Hou
Nbimc-Fp
Special Llc
Ramonslaomdpc
M Sahota Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
754

Additional practice sites

  • 3601 A St, Philadelphia, PA

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Also registered as
Pediatric Nurse Practitioner
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey