# MS. SANDRA GAIL TABER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699097592
- **Gender:** F
- **Credential:** A.P.R.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1040966 | KY | — |
| 363L00000X | Nurse Practitioner | 3006232 | KY | Yes |
| 364S00000X | Clinical Nurse Specialist | 3006232 | KY | — |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 05/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000740558 | ANTHEM | KY |
| 05 | — | 7100170370 | — | KY |
| 05 | — | 7100190170 | — | KY |