Tagle, Fatima Cabal
Tagle, Fatima Cabal is an individual health care provider with primary practice located at 3202 E Greenway Rd , Phoenix AZ 85032-4548. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Tagle, Fatima Cabal can be contacted via phone (602) 325-5577.Contact Information
Primary practice address
3202 E Greenway Rd
Phoenix AZ 85032-4548
Phone: (602) 325-5577
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | C-APN.0002138-C-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP3316 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704203126 | Michigan |
Profile Details
| NPI number | 1033201405 |
|---|---|
| LBN Legal business name | Tagle, Fatima Cabal |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Dec 14th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033201405 | NPPES |
| Michigan | MEDICAID | 470246910 | |
| Michigan | MEDICAID | 470247810 | |
| Michigan | Other | FC203126 | |
| Michigan | Other | P00231988 |
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