Individual provider · Type 1 NPI

Elizabeth Tibbs, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1801281670 Active

Practice location

10590 N Meridian St Ste 105
Indianapolis, IN 46290

Mailing address

10590 N Meridian St # 105
Carmel, IN 46290-1028

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA11481 (TX)
Physician Assistant 363A00000XPA-1038 (AL)
Physician Assistant 363A00000X10002453A (IN)
Surgical Physician Assistant Primary 363AS0400X10002453A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1801281670

Elizabeth Tibbs, PA-C's National Provider Identifier is 1801281670, issued on Mar 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on May 23, 2022.