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Individual

ROSELYN S TABITI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
8601 CONNECTICUT ST, MERRILLVILLE, IN 46410-6647
(219) 525-3495
(219) 472-0934
Mailing address
2783 W 83RD LN, MERRILLVILLE, IN 46410-6067
(708) 407-4756

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209027422
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014765A
IN

Other

Enumeration date
11/13/2023
Last updated
09/24/2025
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