National Provider Identifier

Kirsten Ann Thibodeau Nutty, LNP

Kirsten Ann Thibodeau Nutty, LNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 323-0110.

NPI 1861706335Buffalo, NYPediatric Nurse Practitioner

Profile Overview

NPI
1861706335
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
July 27, 2010
Last Updated
March 25, 2025

Practice Location

  • 1001 Main St Fl 4
  • Buffalo, NY 14203-1009

Phone: (716) 323-0110

Mailing Address

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
  • Critical Care Pediatric Nurse Practitioner (363LP0222X)
Full Record
NPI
1861706335
Entity Type
Individual
Last Name
Nutty
First Name
Kirsten
Middle Name
Ann Thibodeau
Credential
LNP
Mailing Street Address
1001 Main St Fl 5
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 323-0225
Mailing Fax
(716) 323-0293
Practice Street Address
1001 Main St Fl 4
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-0110
Practice Fax
(716) 323-0296
Enumeration Date
July 27, 2010
Last Updated
March 25, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 25, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X), Critical Care Pediatric Nurse Practitioner (363LP0222X)
Other Identifiers
03351782 (NY)