BOZHENA TABAKMAN NP-C NPI 1124109277

NPI Information

NPI: 1124109277
Provider Name: BOZHENA TABAKMAN, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1061 HARMON AVE STE 1D03
FORT STEWART, GA
ZIP 31314
Phone: (912) 435-5353
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Bozhena Tabakman, NP-C is a family nurse practitioner in Fort Stewart, GA with 18 years of experience. Bozhena Tabakman, NP-C NPI is 1124109277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2006

The provider's business location address is:

1061 HARMON AVE STE 1D03
FORT STEWART, GA
ZIP 31314-641
Phone: (912) 435-5353

The NPI 1124109277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/23/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	482505-1	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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