Healthcare Provider Details

I. General information

NPI: 1396807277
Provider Name (Legal Business Name): HATTIE M. S. TAPPS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 80 BOX 20187
APO AP
96367-0086
US

IV. Provider business mailing address

PSC 80 BOX 201897
APO AP
96367-9998
US

V. Phone/Fax

Practice location:
  • Phone: 614-595-5180
  • Fax:
Mailing address:
  • Phone: 614-595-5180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number02002404A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: