Dew, Tabitha

Dew, Tabitha is an individual health care provider with primary practice located at 1638 Owen Dr , Fayetteville NC 28304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Dew, Tabitha can be contacted via phone (910) 615-5490.

Contact Information

Primary practice address
1638 Owen Dr Fayetteville NC 28304
Phone: (910) 615-5490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 5012049 North Carolina

Profile Details

NPI number 1700434511
LBN Legal business name Dew, Tabitha
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 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 1700434511 NPPES
North Carolina MEDICAID 228801

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