Individual
MS. TABITHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11325 SEVEN LOCKS RD STE 290, POTOMAC, MD 20854-3235
(240) 507-5110
Mailing address
9510 RUBY LOCKHART BLVD APT 306, BOWIE, MD 20721-2623
(443) 226-4842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R190181
MD
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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