Individual provider · Type 1 NPI

Andrea Nixt Ibbison, CRNA

Nurse Practitioner · Santa Rosa, CA

NPI number 1932393584 Active

Practice location

3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678

Mailing address

1221 N Dutton Ave
Santa Rosa, CA 95401-4607

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPN.0994540-NP (CO)
Nurse Practitioner Primary 363L00000X95026546 (CA)
Certified Registered Nurse Anesthetist 367500000X0024167511 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1932393584

Andrea Nixt Ibbison, CRNA's National Provider Identifier is 1932393584, issued on Aug 28, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 26, 2026.