Individual
TABITHA TRAM SMITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7200 GLEN FOREST DR STE 106, RICHMOND, VA 23226-3768
(804) 495-0053
Mailing address
7200 GLEN FOREST DR STE 106, RICHMOND, VA 23226-3768
(804) 495-0053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179029
VA
363LF0000X
Family Nurse Practitioner
0024179029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VA
Enumeration date
05/18/2020
Last updated
05/20/2020
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