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TABITHA MEDICAL CARE LLC NPI 1932669520


NPI Information

NPI: 1932669520
Provider Name: TABITHA MEDICAL CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 08D2172466

Address:
10252 STONE CREEK DR
LAUREL, DE
ZIP 19956
Phone: (302) 251-8870
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TABITHA MEDICAL CARE LLC is a family nurse practitioner in Laurel, DE. TABITHA MEDICAL CARE LLC NPI is 1932669520. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10252 STONE CREEK DR
LAUREL, DE
ZIP 19956-702
Phone: (302) 251-8870
Fax: (302) 251-8871

The provider's authorized official is Nadya Julien .
The authorized official title is Owner and has the following contact phone number (302) 251-8870.

The CLIA number assigned to this NPI record is 08D2172466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2019 and was last updated on 2/21/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeNo
4103TF0000XPsychologistFamilyNo
5363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.