Individual
MELISSA LYNN NICOLE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1740 E JOPPA RD, PARKVILLE, MD 21234-3623
(443) 446-5243
Mailing address
8103 REDSTONE RD, KINGSVILLE, MD 21087-1542
(443) 690-8139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R196707
MD
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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