Krystal Veronica Tibbs, CPNP
Nurse Practitioner in Edgewater, MD. Individual provider (NPI-1).
NPI number1437348463
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1437348463
- Entity type
- Individual (NPI-1)
- Name
- Krystal Veronica Tibbs
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2007
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RO93983 | MD | Yes |
Other names
- Krystal Tibbs (Former Name)
Practice location
224 Mayo Rd Ste AEdgewater, MD 21037-2951
Phone 301-956-6303
Mailing address
224 Mayo Rd Ste AEdgewater, MD 21037-2951
Phone 410-956-6303
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