TABATHA R NORTH

FORT WAYNE, IN
NPI1689280356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71010522A)
Enumeration Date2020-09-18
Last Update Date2020-12-02
Business Address
TABATHA R NORTH
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 46845-1733
Phone number: 260-266-5230
Mailing Address
TABATHA R NORTH
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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