Individual provider · Type 1 NPI

Tabitha Marie Hovermale

Student in an Organized Health Care Education/Training Program · Shepherdstown, WV

NPI number 1114706595 Active

Practice location

301 King Street
Shepherdstown, WV 25443

Mailing address

601 Foxcroft Ave, Apt 3C
Martinsburg, WV 25401

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114706595

Tabitha Marie Hovermale's National Provider Identifier is 1114706595, issued on Sep 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shepherdstown, WV. The record was last updated on Sep 26, 2023.