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Individual

LAURA H TABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
915 OLD FERN HILL RD STE 600, WEST CHESTER, PA 19380-3421
(610) 692-3434
(610) 692-9005
Mailing address
PO BOX 22573, NEW YORK, NY 10087-2573
(856) 669-6050
(856) 528-3117

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP022122
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004556927
HIGHMARK
PA
01
004557445
IBC
PA
05
104081752
PA
01
2150119
UHC
PA
Enumeration date
12/31/2020
Last updated
03/09/2023
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