Individual
TAMARA J. VANBIBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
79 AVIS LN, SOUTH PORTSMOUTH, KY 41174-9081
(606) 932-6901
(740) 533-2273
Mailing address
79 AVIS LN, SOUTH PORTSMOUTH, KY 41174-9081
(606) 932-6901
(740) 533-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260605
OH
Other
Enumeration date
11/02/2007
Last updated
11/20/2007
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