Individual
TRISTIAN MAINE NABORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 E MOUNTAIN VILLAGE DR, WASILLA, AK 99654-7373
(907) 290-3760
Mailing address
847 N HILLSDALE DR, TUPELO, MS 38804-1684
(662) 266-1233
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
907024
MS
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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