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TABITHA BANE
Nurse Practitioner
NPI: 1417339896IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
71005510A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1995
Contact & Hours
Via practice · 2 locations total
- Address
- 1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825 - Phone
- (260) 425-5970
Quick Facts
- NPI
- 1417339896
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 31
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