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NPI Code Detail

MEDICARE: ANNA JEANNE CIBO A.P.R.N

MEDICARE: ANNA JEANNE CIBO A.P.R.N
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
1363L00000XNurse Practitioner817867NV

General Provider Information

NPI Number : 1518439660
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JEANNE CIBO A.P.R.N
Provider Business Mailing Address
First Line : PO BOX 450709
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-0614
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number : 702-438-4692
Fax Number : 702-485-2372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 05/19/2026

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