Individual
DR. RICHARD JAVIER TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC, APRN
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-5099
Mailing address
13065 180TH CT NW, ELK RIVER, MN 55330-5642
(952) 393-4399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14362
MN
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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