Healthcare Provider Details

I. General information

NPI: 1184714289
Provider Name (Legal Business Name): TARABETH HILL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
CAMP PENDLETON CA
92058
US

IV. Provider business mailing address

200 MERCY CIRCLE
CAMP PENDLETON CA
92058
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-4357
  • Fax: 760-719-1101
Mailing address:
  • Phone: 760-725-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberS61008/13751
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: