Provider Demographics
NPI:1982633962
Name:TABIJE, ELVIRA CONSTANTINO (CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:ELVIRA
Middle Name:CONSTANTINO
Last Name:TABIJE
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:MRS
Other - First Name:ELVIE
Other - Middle Name:CONSTANTINO
Other - Last Name:TABIJE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNFA
Mailing Address - Street 1:4 W BRIDLESPUR TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-5066
Mailing Address - Country:US
Mailing Address - Phone:816-941-7404
Mailing Address - Fax:816-941-7404
Practice Address - Street 1:1000 CARONDELET DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4673
Practice Address - Country:US
Practice Address - Phone:816-943-2612
Practice Address - Fax:816-943-4658
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO070795163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant