Individual provider · Type 1 NPI

Tabitha Beaty, NP-C

Family Nurse Practitioner · Rolla, MO

NPI number 1619815875 Active

Practice location

1050 W 10th St
Rolla, MO 65401-2905

Fax (573) 426-2108

Other practice locations

  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 458-8899
  • 1000 W 10th St, Rolla, MO 65401-2905 · (573) 364-9000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2026009157 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1619815875

Tabitha Beaty, NP-C's National Provider Identifier is 1619815875, issued on Mar 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rolla, MO. The record was last updated on May 29, 2026.