Provider Demographics
NPI:1376068460
Name:NAVE, TABITHA (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:NAVE
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:610 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-3245
Mailing Address - Country:US
Mailing Address - Phone:580-371-2343
Mailing Address - Fax:580-371-3614
Practice Address - Street 1:107 E POST AVE
Practice Address - Street 2:
Practice Address - City:COALGATE
Practice Address - State:OK
Practice Address - Zip Code:74538-3004
Practice Address - Country:US
Practice Address - Phone:580-927-2828
Practice Address - Fax:580-927-9876
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK88973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily