Healthcare Provider Details

I. General information

NPI: 1790693331
Provider Name (Legal Business Name): TABITHA M EVANS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 WEDGEWOOD DR
AKRON OH
44312-2401
US

IV. Provider business mailing address

214 W BOWERY ST
AKRON OH
44308-1046
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-7930
  • Fax: 330-761-7932
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-512080
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: