Provider Demographics
NPI:1275960510
Name:BATTLE, TABE (NP-C)
Entity Type:Individual
Prefix:
First Name:TABE
Middle Name:
Last Name:BATTLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26744 JOHN J WILLIAMS HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4667
Mailing Address - Country:US
Mailing Address - Phone:302-945-0440
Mailing Address - Fax:302-945-0442
Practice Address - Street 1:26744 JOHN J WILLIAMS HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4667
Practice Address - Country:US
Practice Address - Phone:302-945-0440
Practice Address - Fax:302-945-0442
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DELG-0000717363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program