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Tabetha Tara Schroder, NP-C

Nurse Practitioner, Family in Des Moines, IA. Individual provider (NPI-1).

NPI number1013661925
StatusActive
Last updated in NPPESFeb 9, 2022

Details

NPI
1013661925
Entity type
Individual (NPI-1)
Name
Tabetha Tara Schroder
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2022
Certification date
Feb 9, 2022
Last updated
Feb 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA166006IAYes

Practice location

3600 30th St
Des Moines, IA 50310-5753

Phone 515-669-7108

Mailing address

4823 70th Pl
Urbandale, IA 50322-8007

Phone 515-669-7108

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