IndividualActive
Andraya Huldeen-Tibbetts, M.D.
NPI 1144416728 · Obstetrics & Gynecology Physician · Waconia, MN
Provider details
- NPI number
- 1144416728
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 50517 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
560 S Maple St
Suite 130
Waconia, MN 55387-1733
Phone: (952) 442-2137
Fax: (952) 442-5904
Approximate (ZIP-level) locationGet directions
Mailing address
560 S Maple St
Waconia, MN 55387-1733
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2011-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.