Individual
MICHELLE RAINA TIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
102 RUN SWAMP RD, CAMDEN, NC 27921-7625
(814) 553-2117
Mailing address
102 RUN SWAMP RD, CAMDEN, NC 27921-7625
(814) 553-2117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024188279
VA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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