Individual
TABATHA ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-7834
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007262A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016858006
PTAN
KS
05
—
201012910A
—
KS
Enumeration date
01/14/2013
Last updated
07/21/2022
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