NPI 1710523436
Tabitha McGovern
Practice location
- Address
- 16275 E 1st St, Bayview, ID 83803-9792
- Phone
- (208) 651-5950
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1710523436
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Nov 2019
- Record last updated
- 19 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.