MEDICARE: CECILIA LARIBA BIBIO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R185828	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R185828	MD
3	363LA2100X	Acute Care Nurse Practitioner	R185828	MD

General Provider Information

NPI Number	:	1316504301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA LARIBA BIBIO NP

Provider Business Mailing Address
First Line	:	1369 TRALEE CIR
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-2643
Country	:	US
Telephone Number	:	443-409-6616
Fax Number	:	443-437-4869

Provider Business Practice Location Address
First Line	:	1020 EDGEWOOD RD
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-1606
Country	:	US
Telephone Number	:	443-409-6616
Fax Number	:	443-437-4869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2019
Last Update Date	:	07/23/2025

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