Individual
TABITHA BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8433
Mailing address
13200 CHRISTOPHER DR, ROLLA, MO 65401-7545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026009157
MO
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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