TABATHA D LANDRUM

TERRE HAUTE, IN
NPI1700398666
Former NameTABATHA COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009930A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28186169A)
363L00000X Nurse Practitioner
(Licence: IN  71009930A)
Enumeration Date2017-11-01
Last Update Date2025-02-12
Business Address
TABATHA D LANDRUM NP
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-238-4555
Mailing Address
TABATHA D LANDRUM NP
10568 W LINGLE LN
GOSPORT, IN 47433-8979
Phone number: