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Individual

BRIANNA RENEE HIBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-C

Contact information

Practice address
3914 MURPHY CANYON RD STE A103, SAN DIEGO, CA 92123-4414
(858) 737-4260
Mailing address
3914 MURPHY CANYON RD STE A103, SAN DIEGO, CA 92123-4414

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95280076
CA
363L00000X
Nurse Practitioner
Primary
95020576
CA
363LF0000X
Family Nurse Practitioner
11002531
FL
363LF0000X
Family Nurse Practitioner
12.007752
CT

Other

Enumeration date
07/10/2018
Last updated
03/20/2024
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