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NPI Code Detail

MEDICARE: TABITHA WY

MEDICARE: TABITHA WY
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95321380CA

General Provider Information

NPI Number : 1457290173
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA WY
Provider Business Mailing Address
First Line : 1832 SONATA DR
Second Line :
City : OXNARD
State : CA
Zip : 93030-0109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DR STE 200
Second Line :
City : OXNARD
State : CA
Zip : 93036-0673
Country : US
Telephone Number : 866-998-2243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

Similar Medicare Providers

1750220299 — KATHERINE TRIOL DOUBLE
Practice Location Address:
1911 WILLIAMS DR STE 200
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93036-0673
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1699869222 — DR. ROBIN THOMAS BOSCARELLI PH.D.
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1528191020 — MS. JENNIFER I. DOUGHERTY L.C.S.W.
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OXNARD, CA
93036-0673
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1154516771 — MR. BRANDON DAVID ROSSITER CATC II
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1911 WILLIAMS DR STE 200
OXNARD, CA
93036-0673
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Practice Fax:
1457546301 — IRMA B GARCIA
Practice Location Address:
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Directions to “ TABITHA WY ” Practice Location

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