Provider Demographics
NPI:1316137698
Name:MASE, TABE B (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TABE
Middle Name:B
Last Name:MASE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 SULKY CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2268
Mailing Address - Country:US
Mailing Address - Phone:302-529-1962
Mailing Address - Fax:302-762-5699
Practice Address - Street 1:4755 OGLETOWN-STANTON ROAD
Practice Address - Street 2:CHRISTIANA CARE HEALTH SYSTEMS
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-1512
Practice Address - Fax:302-733-1890
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily