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Individual
MARIBETH E. HIBBETT
Active
Individual
MARIBETH E. HIBBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1044830
KY
363L00000X
Nurse Practitioner
Primary
3002128
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3002128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041042
ANTHEM
KY
01
—
065805
VALUE OPTIONS
KY
01
—
1195444
CHA HEALTH
KY
01
—
262258000
MAGELLAN
KY
05
—
7100177360
—
KY
Enumeration date
05/09/2006
Last updated
08/30/2018
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