Individual provider · Type 1 NPI
Tabatha Grace
Family Nurse Practitioner · Show Low, AZ
NPI number
1104402338
Active
Practice location
1500 S White Mountain Rd Bldg 3
Show Low, AZ 85901-7111
Mailing address
1300 S Main St
Snowflake, AZ 85937-5661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 254322 (AZ) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Show Low
- Alison Iverson, NPFamily Nurse Practitioner Show Low, AZ NPI 1003570128
- Kelly Curiel, FNPFamily Nurse Practitioner Show Low, AZ NPI 1043673262
- Raelynn M. Musick, N.P.Family Nurse Practitioner Show Low, AZ NPI 1073946562
- Katheryn M. Johnston, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1083262620
- Deepa Khari, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1124547252
- Lyndsay Leigh Rebecca Funk-Purcell, NPFamily Nurse Practitioner Show Low, AZ NPI 1124784657
- Timothy R. Penniston, FNP-CFamily Nurse Practitioner Show Low, AZ NPI 1144243692
- Elizabeth Miller, FNPFamily Nurse Practitioner Show Low, AZ NPI 1154860765
About NPI 1104402338
Tabatha Grace's National Provider Identifier is 1104402338, issued on Mar 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Show Low, AZ. The record was last updated on Mar 9, 2023.