License holder summary

TABITHA PROVOST is a Registered Nurse licensed to practice in Connecticut. The address on file for TABITHA PROVOST is 11 Allen Dr, Hartford, BROAD BROOK, CT, 06016-9765. This nurse license is current. The license was granted 12/08/2008 and expired on 09/30/2014.

Department of Public Health

Board of Nursing

TABITHA PROVOST
Registered Nurse
License number
87466
Date granted
12/08/2008
Date expires
09/30/2014
Class
Registered Nurse
Status
Active
Address
11 Allen Dr, Hartford, BROAD BROOK, CT, 06016-9765
nursingct.org
ID 4477759
LAST UPDATED 2024-04-13 21:37:33 UTC

This website is unaffiliated with the Board of Nursing. Please verify all information directly with the relevant official government authority.

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