Individual
DR. ANNIE E TABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2528 MOUNTAIN RD, PASADENA, MD 21122-7203
(443) 548-3733
(410) 360-1675
Mailing address
292 SAINT MICHAELS CIR, ODENTON, MD 21113-1086
(240) 413-8399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R191166
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20221161319
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542025300
—
MD
Enumeration date
04/09/2020
Last updated
11/14/2022
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