Individual provider · Type 1 NPI

Matthew Shane Tibbits, LVN

Licensed Vocational Nurse · Round Rock, TX

NPI number 1417435157 Active

Practice location

2624 Bradley Ln
Round Rock, TX 78664-4509

Call (512) 965-0083 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X161984 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1417435157

Matthew Shane Tibbits, LVN's National Provider Identifier is 1417435157, issued on Aug 3, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Round Rock, TX. The record was last updated on Aug 3, 2018.