Individual
TABITHA NICOLE MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7929
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26442
WY
Other
Enumeration date
08/31/2006
Last updated
01/22/2009
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