Individual
TABITHA YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CEDAR STREET, TMP3, NEW HAVEN, CT 06510
(203) 785-2802
(203) 785-6664
Mailing address
11 THOMAS ST, BARRINGTON, RI 02806-4824
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
674983
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
128075
NY
367500000X
Certified Registered Nurse Anesthetist
14841
CT
367500000X
Certified Registered Nurse Anesthetist
APRN02968
RI
Other
Enumeration date
02/10/2020
Last updated
10/17/2025
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