Organization
TABITHA MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADYA JULIEN NP (OWNER)
(302) 251-8870
Entity
Organization
Contact information
Practice address
10252 STONE CREEK DR, LAUREL, DE 19956-4702
(302) 251-8870
(302) 251-8871
Mailing address
10252 STONE CREEK DR, LAUREL, DE 19956-4702
(302) 251-8870
(302) 251-8871
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
02/21/2024
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