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Individual
ANDREA NIXT IBBISON
Active
Individual
ANDREA NIXT IBBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026546
CA
363LF0000X
Family Nurse Practitioner
APN.0994540-NP
CO
367500000X
Certified Registered Nurse Anesthetist
0024167511
VA
Other
Enumeration date
08/28/2007
Last updated
05/26/2026
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