Individual
AMY L. TIBBITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 CLAY ST, DARLINGTON, WI 53530-1225
(608) 776-4497
(608) 776-2317
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4497
(608) 776-2837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2064-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2064-023
LICENSE
WI
Enumeration date
11/20/2006
Last updated
10/10/2023
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