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NPI Code Detail

MEDICARE: BRIANA LEE TIBBETTS PMHNP-BC

MEDICARE: BRIANA LEE TIBBETTS PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner291921AZ

General Provider Information

NPI Number : 1336010768
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA LEE TIBBETTS PMHNP-BC
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 6950 E GOLF LINKS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1017
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 01/12/2026

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