Provider Demographics
NPI:1609266618
Name:SAYLOR, TABITHA (CRNP)
Entity Type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:
Other - Last Name:RUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:713 GOODYEAR AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1156
Mailing Address - Country:US
Mailing Address - Phone:256-492-4040
Mailing Address - Fax:256-492-4017
Practice Address - Street 1:713 GOODYEAR AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1156
Practice Address - Country:US
Practice Address - Phone:256-492-4040
Practice Address - Fax:256-492-4017
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-110086363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health