Tabitha Hart, CNP | |
711 N Lake Ave, Sioux Falls, SD 57104-2203 | |
(605) 339-0420 | |
Not Available |
Full Name | Tabitha Hart |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 711 N Lake Ave, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326580184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP001168 (South Dakota) | Primary |
Entity Name | South Dakota Urban Indian Health, Inc Sduih |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952473233 PECOS PAC ID: 8820182058 Enrollment ID: O20090227000130 |
Mailing Address | Practice Location Address |
---|---|
Tabitha Hart, CNP 711 N Lake Ave, Sioux Falls, SD 57104-2203 Ph: (605) 339-0420 | Tabitha Hart, CNP 711 N Lake Ave, Sioux Falls, SD 57104-2203 Ph: (605) 339-0420 |
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