Tabitha E Park CRNP

NPI 1235383647 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1235383647
Gender Female
Enumeration Date 11/12/2008
Last Updated 02/02/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
12900 CORTEZ BLVD
SUITE 203
BROOKSVILLE FL, 34613-6828, US
Phone (352) 597-7744
Fax (352) 597-7797
Business Location
12900 CORTEZ BLVD
BROOKSVILLE FL, 34613-6828, US
Phone (352) 597-7744
Fax (352) 597-7797
Toxanomy
Taxonomy Code 363LF0000X
License State Pennsylvania
License Number SP010018
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According to our database, Ms. Tabitha E Park CRNP NPI is 1235383647, taxonomy code is 363LF0000X and license number is SP010018, license state is located at Pennsylvania. Tabitha E Park CRNP physically located at 12900 Cortez Blvd, Brooksville FL, 34613-6828. NPI Number Tabitha E Park CRNP has the Individual type.

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1235383647 NPI number is provided on an as is basis without warranty of any kind. 1235383647 is maintained by the National Plan & Provider Enumeration System. The contents of Tabitha E Park CRNP are for informational purposes only.