Individual
FATIMA CABAL TAGLE
Active
Individual
FATIMA CABAL TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704203126
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
AP3316
AZ
363LG0600X
Gerontology Nurse Practitioner
C-APN.0002138-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470246910
—
MI
05
—
470247810
—
MI
01
—
FC203126
BLUE SHIELD
MI
01
—
P00231988
RR MEDICARE
MI
Enumeration date
09/29/2006
Last updated
04/17/2025
Update your record
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