Provider Demographics
NPI:1679014252
Name:TABAN, MARIA ALONA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ALONA
Last Name:TABAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MARIA ALONA
Other - Middle Name:MATAWARAN
Other - Last Name:CALDERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5670 STONE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-3747
Mailing Address - Country:US
Mailing Address - Phone:336-480-6833
Mailing Address - Fax:
Practice Address - Street 1:5670 STONE CROSSING DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-3747
Practice Address - Country:US
Practice Address - Phone:336-480-6833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC205157163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse