TIBA CARE PLLC NPI 1417469669

NPI Information

NPI: 1417469669
Provider Name: TIBA CARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
315 W ELLIOT RD STE 107-167
TEMPE, AZ
ZIP 85284
Phone: (623) 226-8105
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TIBA CARE PLLC is a family nurse practitioner in Tempe, AZ. TIBA CARE PLLC NPI is 1417469669. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 W ELLIOT RD STE 107-167
TEMPE, AZ
ZIP 85284-328
Phone: (623) 226-8105

The provider's authorized official is Jennifer Gresham .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (623) 226-8105.

The enumeration date for this NPI number is 10/27/2017 and was last updated on 10/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP8433	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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