Individual
ROSEANN TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/CNM/NP
Contact information
Practice address
1551 BISHOP ST, STE 240/310, SAN LUIS OBISPO, CA 93401-4635
(805) 549-0402
Mailing address
150 TEJAS PL, PO BOX 430, NIPOMO, CA 93444-9123
(805) 929-3211
(805) 929-6440
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
31947/8301/1494
CA
367A00000X
Advanced Practice Midwife
Primary
NM1494
CA
Other
Enumeration date
02/01/2008
Last updated
01/22/2024
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