Individual
TABETHA STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
767 E TURKEYFOOT LAKE RD STE 3, AKRON, OH 44319-4128
(330) 899-0871
(330) 899-0873
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-2615
(800) 427-1902
(800) 564-5952
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.021511
OH
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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