Individual
MARY TARBOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
(317) 771-1431
Mailing address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28260459A
IN
363LF0000X
Family Nurse Practitioner
71017000A
IN
Other
Enumeration date
09/30/2024
Last updated
10/17/2025
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