Individual
NICOLE C TABBAL
Active
Individual
NICOLE C TABBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201906846NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201906846NP-PP
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
201906846NP-PP
OR
Other
Enumeration date
08/07/2019
Last updated
06/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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