Individual
MISS TABATHA PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(805) 588-8570
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(805) 588-8570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340945
NY
Other
Enumeration date
12/11/2018
Last updated
02/24/2025
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