Nancy M Tibbetts, CNM, F-NP
Advanced Practice Midwife in Grass Valley, CA. Individual provider (NPI-1).
NPI number1871648196
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1871648196
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nancy M Tibbetts
- Credential
- CNM, F-NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | nmw958 | CA | Yes |
Practice location
280 Sierra College Dr Ste 115Grass Valley, CA 95945-5763
Phone 530-477-3119 · Fax 530-274-2077
Mailing address
3400 Data DrAttn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
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