| Tabitha Professional Services | |
|
4720 Randolph Street Lincoln NE 68510-3741 | |
| (402) 483-7671 | |
| (402) 486-8539 |
| Full Name | Tabitha Professional Services |
|---|---|
| Speciality | General Practice |
| Location | 4720 Randolph Street, Lincoln, Nebraska |
| Authorized Official Name and Position | Darcie L Brink (SR VICE PRESIDENT / CFO) |
| Authorized Official Contact | 4024837671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Professional Services 4720 Randolph Street Lincoln NE 68510-3741 Ph: (402) 483-7671 | Tabitha Professional Services 4720 Randolph Street Lincoln NE 68510-3741 Ph: (402) 483-7671 |
| NPI Number | 1801971387 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801971387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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