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Individual
TABATHA NICOLE PETERS
Active
Individual
TABATHA NICOLE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0029774
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029774
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0029774
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0029774
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0029774
NURSING BOARD
OH
Enumeration date
08/27/2021
Last updated
11/24/2025
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