Active NPIIndividual provider

Joan B Kima-Tabong, NP

Nurse Practitioner, Family in Shirley, Massachusetts

NPI Number1588004527
Practice location
1 Harvard RD, Shirley, MA 01464-2434
Fax
508-792-7888
Last updated
July 3, 2013

Joan Bei Kima-Tabong is a Nurse Practitioner, Family based in Shirley, MA. Joan Bei Kima-Tabong practices in Shirley, MA and has the professional credentials of NP. The NPI Number for Joan Bei Kima-Tabong is 1588004527 and holds a License No. 252502 (MA). The current practice location address for Joan Bei Kima-Tabong is 1 Harvard RD, Shirley, MA 01464-2434 and can be reached out via phone at 978-425-4341 and via fax at 508-792-7888.

Provider Profile Details

NPI Number
1588004527
Provider Name
Joan Bei Kima-Tabong
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1 Harvard RD, Shirley, MA 01464-2434
Phone Number
978-425-4341
Fax Number
508-792-7888
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2013
Last Update Date
July 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Harvard RD
Shirley, MA 01464-2434
Zip
01464-2434
Phone Number
978-425-4341
Fax Number
508-792-7888
Shirley, MA 01464Get directions →

Provider Business Mailing Address Details

Address
186 Olin Ave
Fitchburg, MA 01420-7026
City
Fitchburg
State
MA
Zip
01420-7026
Phone Number
617-308-6130
Fax Number
978-345-1218

License Information

License Number
252502
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joan B Kima-Tabong, NP?

The NPI number of Joan B Kima-Tabong, NP is 1588004527. It was assigned on July 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Joan B Kima-Tabong, NP?

Joan B Kima-Tabong, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 252502.

Where does Joan B Kima-Tabong, NP practice?

The practice location is 1 Harvard RD, Shirley, MA 01464-2434. The office can be reached at 978-425-4341 (phone) or 508-792-7888 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588004527 directly on the NPPES registry website.

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