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ROSEANN TIBBS RN/CNM/NP

Nursing Service Providers Registered Nurse Perinatal

Provider NPI: 1982882890

Provider Information:
 ROSEANN  TIBBS RN/CNM/NP
Gender: F
Sole Proprietor

Practice Location:
1551 BISHOP ST STE 240/310 SAN LUIS OBISPO, CA 93401-4635 US
Tel: 805-549-0402  Fax: --

Business Mailing Address:
150 TEJAS PL PO BOX 430 NIPOMO, CA 93444-9123 US
Tel: 805-929-3211  Fax: 805-929-6440

NPI Information:
NPI: 1982882890
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP1700XNursing Service Providers
Registered Nurse
Perinatal
CA31947/8301/1494

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WP1700X

Type:

Classification:



Definition:



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