Provider Demographics
NPI:1215776125
Name:TIBBO-VALERIOTE, HOLLY (RN NBCHWC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:TIBBO-VALERIOTE
Suffix:
Gender:F
Credentials:RN NBCHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WILLINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9299
Mailing Address - Country:US
Mailing Address - Phone:919-606-9651
Mailing Address - Fax:
Practice Address - Street 1:8001 DEVELOPMENT DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7416
Practice Address - Country:US
Practice Address - Phone:919-237-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC861830689171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach