Tabitha Sue Wilson
Pediatrics Physician · Corning, IA
Practice location
603 Rosary DrCorning, IA 50841
- Phone
- (641) 322-3121
NPI record
- NPI
- 1952764425
- Entity type
- Individual (Type 1)
- Enumeration date
- April 1, 2016
- Last updated
- July 24, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
MD-46015 | IA |
Mailing address
2324 190TH StBedford, IA 50833-8233
- Phone
- (712) 621-4164
Other practice locations (1)
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 · (801) 662-1000
About Tabitha Wilson
Tabitha Sue Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 603 Rosary Dr, Corning, IA 50841. The NPI number 1952764425 was assigned on April 1, 2016 and the record was last updated on July 24, 2019.
Tabitha Wilson lists a license in the registry: #MD-46015 (IA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tabitha Sue Wilson?
The NPI number is 1952764425.
What is the phone number of Tabitha Wilson?
The phone number listed for the practice location is (641) 322-3121.
Where is Tabitha Wilson located?
603 Rosary Dr, Corning, IA 50841.
What is the taxonomy code for Tabitha Wilson?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.