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Tabatha Grace
Family Nurse Practitioner in Show Low, Arizona
NPI 1104402338

Tabatha Grace is a Family Nurse Practitioner based in Snowflake, AZ and is specialized in Family. Tabatha Grace practices in Show Low, AZ. The NPI Number for Tabatha Grace is 1104402338 and holds a License No. 254322 (Arizona).

The current practice location address for Tabatha Grace is 1500 S White Mountain Rd Bldg 3, Show Low, AZ and can be reached out via phone at 928-532-5838.

Location: 1500 S White Mountain Rd Bldg 3, Show Low, AZ, 85937-5661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104402338
Provider Name
Tabatha Grace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S White Mountain Rd Bldg 3, Show Low, AZ, 85937-5661
Phone Number
928-532-5838
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S White Mountain Rd Bldg 3
City
Show Low
State
Arizona
Zip
85901-7111
Phone Number
928-532-5838
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S White Mountain Rd Bldg 3
City
Show Low
State
Arizona
Zip
85901-7111
Phone Number
928-532-5838
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
254322 (Arizona)
Definition
Definition to come...
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