person
Kathleen Grace Tibbits, FNP
Family Nurse Practitioner in Syracuse, New York
NPI 1912997123

Kathleen Grace Tibbits is a Family Nurse Practitioner based in Syracuse, NY and is specialized in Family. Kathleen Grace Tibbits practices in Syracuse, NY and has the professional credentials of FNP. The NPI Number for Kathleen Grace Tibbits is 1912997123 and holds a License No. F331892-1 (New York).

The current practice location address for Kathleen Grace Tibbits is 721 E Genesee St, Syracuse, NY and can be reached out via phone at 315-476-3124 and via fax at 315-476-3136.

Location: 721 E Genesee St, Syracuse, NY, 13214-1845
person
Provider Profile Details
NPI Number
1912997123
Provider Name
Kathleen Grace Tibbits
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
721 E Genesee St, Syracuse, NY, 13214-1845
Phone Number
315-476-3124
Fax Number
315-476-3136
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00561353 05 NY
institution
Provider Business Practice Location Address Details
Address
721 E Genesee St
City
State
Zip
13210-1505
Phone Number
315-476-3124
Fax Number
315-476-3136
person
Provider Business Mailing Address Details
Address
721 E Genesee St
City
State
Zip
13210-1505
Phone Number
315-476-3124
Fax Number
315-476-3136
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F331892-1 (New York)
Definition
Definition to come...
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