Individual
TRISHA LYNN TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 CEDAR RIVER PKWY STE 101, WAVERLY, IA 50677-1010
(319) 352-1037
Mailing address
1797 ROTARY PARK RD, CHARLES CITY, IA 50616-9076
(641) 481-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A177956
IA
Other
Enumeration date
02/06/2024
Last updated
12/03/2024
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