Individual
TIFFANY NICOLE RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3950 N A W GRIMES BLVD STE N201, ROUND ROCK, TX 78665-3540
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
COA13571NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
1198422
TX
363LP0200X
Pediatric Nurse Practitioner
COA-13571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122504
—
OH
Enumeration date
04/14/2009
Last updated
06/11/2025
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