Individual
KATHLEEN M TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-2300
Mailing address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-2300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
138437
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9356775
FL
Other
Enumeration date
02/23/2006
Last updated
07/21/2022
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