Individual
MISS TABITHA B ENGELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-1734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8608
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
8608
CT
Other
Enumeration date
11/13/2019
Last updated
08/25/2021
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