Individual
ALICE ELIZABETH TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2030 MOUNTAIN VIEW AVE STE 420, LONGMONT, CO 80501-3182
(303) 776-9400
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(303) 776-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
04/15/2025
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