Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Laisa Thibault, FNP-C

Individual provider Nurse Practitioner · NPI 1144946013

Mia Laisa Thibault, FNP-C is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices with Elite Wound Care Solutions Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2800 N Tenaya Way Ste 101
Las Vegas, NV 89128
Phone: (725) 258-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 860389 (NV)

Record details

NPI number1144946013
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESFebruary 18, 2023
Certification dateFebruary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Elite Wound Care Solutions Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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