Clayton, Tabitha Faith

Clayton, Tabitha Faith is an individual health care provider with primary practice located at 83 W Miller St , Orlando FL 32806-2031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Clayton, Tabitha Faith can be contacted via phone (321) 841-5281.

Contact Information

Primary practice address
83 W Miller St Orlando FL 32806-2031
Phone: (321) 841-5281
Fax: (407) 648-9879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 9377992 Florida

Profile Details

NPI number 1053899807
LBN Legal business name Clayton, Tabitha Faith
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Oct 8th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053899807 NPPES
Florida MEDICAID 102620100

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