| Doctor Name: | MS. SANDRA GAIL TABER |
| NPI Number: | 1699097592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N. |
| License Number: | 3006232 |
| Business Practice Address: | 619 N 30th St Paducah, KY - 420014047 |
| Business Phone Number: | 2704448183 |
| Business Fax Number: | 2704448147 |
| Mailing Address: | 619 N 30th St, PADUCAH |
| State: | KY |
| Postal Code: | 420014047 |
| Phone Number: | 2704448183 |
| Fax Number: | 2704448147 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364S00000X |
| License Number: | 3006232 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |