Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tibbetts

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194511212

Mary Tibbetts is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

30 Leon St
Boston, MA 02115-5009
Phone: (617) 373-3323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194511212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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