MEDICARE: ANGELICA MARIA HIBBS 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	363LF0000X	Family Nurse Practitioner	AP11420	AZ
2	163WL0100X	Lactation Consultant (Registered Nurse)	RN128482	AZ

General Provider Information

NPI Number	:	1528551074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA MARIA HIBBS NP

Provider Business Mailing Address
First Line	:	3112 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1613
Country	:	US
Telephone Number	:	520-869-3565
Fax Number	:	405-297-4928

Provider Business Practice Location Address
First Line	:	3112 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1613
Country	:	US
Telephone Number	:	520-869-3565
Fax Number	:	405-297-4928

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

Provider Enumeration Date	:	06/10/2018
Last Update Date	:	10/12/2025

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