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 Date2025-06-13
Business Address
TABATHA R NORTH
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
Mailing Address
TABATHA R NORTH
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: