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NPI Code Detail

MEDICARE: DEBORAH L TAPP NP

MEDICARE: DEBORAH L TAPP NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3019089KY
2363L00000XNurse Practitioner71008416AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194206789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L TAPP NP
Provider Business Mailing Address
First Line : PO BOX 21890
Second Line :
City : BELFAST
State : ME
Zip : 04915-4115
Country : US
Telephone Number : 502-907-0356
Fax Number : 502-919-9780
Provider Business Practice Location Address
First Line : 700 KIMBER LN
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2803
Country : US
Telephone Number : 812-476-7111
Fax Number : 812-476-7117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 02/13/2024

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Directions to “ DEBORAH L TAPP NP” Practice Location

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