Individual
MRS. THAIS A TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 TER HEUN DR, FALMOUTH, MA 02540-2503
(508) 548-5300
Mailing address
297 NORTH ST STE 221, HYANNIS, MA 02601-5133
(508) 862-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN2281299
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2281299
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
05/07/2021
Last updated
06/03/2023
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