Individual
DR. TABITHA MAE PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
1162 MONTGOMERY DR FL 2, SANTA ROSA, CA 95405-4802
(707) 890-4100
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95036454
CA
363LF0000X
Family Nurse Practitioner
F06250193
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN-1001705-NP
CO
Other
Enumeration date
06/23/2025
Last updated
07/31/2026
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