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Individual

TABITHA JOY GINGERICH

Active
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Individual

TABITHA JOY GINGERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170242
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0802810
CIGNA
VA
05
1568432706
VA
01
302937
ANTHEM
VA
01
3810009499
WV MEDICAID
VA
01
42417
OPTIMA
VA
01
638339
SOUTHERN HEALTH
VA
Enumeration date
08/16/2012
Last updated
06/11/2020
About Stedi
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