Individual
MRS. PATRICIA M TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12801 86TH AVE E, PUYALLUP, WA 98373-5454
(253) 840-8968
(253) 840-8802
Mailing address
1000 CRESO RD, SPANAWAY, WA 98387-8990
(253) 539-7022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00083399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00083399
RN LICENSE
WA
Enumeration date
01/28/2013
Last updated
01/28/2013
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