Individual
MS. NANCY M TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, F-NP
Contact information
Practice address
280 SIERRA COLLEGE DR STE 115, GRASS VALLEY, CA 95945-5763
(530) 477-3119
(530) 274-2077
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW958
CA
Other
Enumeration date
01/25/2007
Last updated
01/23/2019
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