IndividualActive
Billy Thibodeaux, RN
NPI 1730776196 · Psychiatric/Mental Health Registered Nurse · Tulsa, OK
Provider details
- NPI number
- 1730776196
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- R0129852 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 664-4224
Approximate (ZIP-level) locationGet directions
Mailing address
6333 E Skelly Dr
Tulsa, OK 74135-6106
Registry dates
- Enumerated
- 2020-12-30
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.