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NPI Code Detail

MEDICARE: TABITHA ANN STEERE FNP-C

MEDICARE:   TABITHA ANN STEERE  FNP-C
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
1363LF0000XFamily Nurse Practitioner4704267675MI

General Provider Information

NPI Number : 1174099238
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA ANN STEERE FNP-C
Provider Business Mailing Address
First Line : 730 S RICH RD
Second Line :
City : ITHACA
State : MI
Zip : 48847-9759
Country : US
Telephone Number : 989-289-3374
Fax Number :
Provider Business Practice Location Address
First Line : 101 W TOWNSEND RD
Second Line :
City : SAINT JOHNS
State : MI
Zip : 48879-9200
Country : US
Telephone Number : 989-403-4060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2018
Last Update Date : 10/16/2018

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Directions to “ TABITHA ANN STEERE FNP-C” Practice Location

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