Individual
LA VONDA TABRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6047 TYVOLA GLEN CIR STE 100, CHARLOTTE, NC 28217-6431
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
303770
NY
164W00000X
Licensed Practical Nurse
81366
NC
363L00000X
Nurse Practitioner
5017320
NC
363LF0000X
Family Nurse Practitioner
Primary
5017320
NC
363LF0000X
Family Nurse Practitioner
TABR-6V19Z
NC
Other
Enumeration date
04/28/2015
Last updated
02/26/2026
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