Individual provider · Type 1 NPI
Tabitha Leclaire Tate, FNP
Family Nurse Practitioner · Raleigh, NC
NPI number
1073076923
Active
Practice location
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Mailing address
2401 Hudlow Rd
Forest City, NC 28043-7724
Other practice locations
- 4000 Faber Place Dr Ste 300, Charleston, SC 29405-8587 · (888) 731-8994
- 111 N Orange Ave Ste 800, Orlando, FL 32801-2381 · (888) 731-8994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5011638 (NC) |
| Family Nurse Practitioner | 363LF0000X | TPAN3027 (FL) |
| Family Nurse Practitioner | 363LF0000X | 29819 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5011638 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073076923
Tabitha Leclaire Tate, FNP's National Provider Identifier is 1073076923, issued on Apr 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 22, 2025.