Individual
KATIE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
387 QUARRY ST STE 100, FALL RIVER, MA 02723-1026
(508) 679-8111
Mailing address
387 QUARRY ST STE 100, FALL RIVER, MA 02723-1026
(508) 679-8111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2283809
MA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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