Individual provider · Type 1 NPI
Cassia Tibbles
Family Nurse Practitioner · Woburn, MA
NPI number
1104387570
Active
Practice location
7 Cerqua St
Woburn, MA 01801-5302
Mailing address
7 Cerqua Street
Woburn, MA 01801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 067704-21 (NH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104387570
Cassia Tibbles's National Provider Identifier is 1104387570, issued on Mar 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woburn, MA. The record was last updated on Feb 23, 2020.