Heather M Tavares NP

NPI 1336244706 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1336244706
Gender Female
Enumeration Date 09/13/2006
Last Updated 08/03/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 VFW PKWY
WEST ROXBURY MA, 02132-4927, US
Phone (617) 323-7700
Fax
Business Location
PO BOX 1874
MATTAPOISETT MA, 02739-0448, US
Phone (508) 789-4521
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Massachusetts
License Number 198650
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According to our database, Mrs. Heather M Tavares NP NPI is 1336244706, taxonomy code is 363LA2100X and license number is 198650, license state is located at Massachusetts. Heather M Tavares NP physically located at 1400 Vfw Pkwy, West Roxbury MA, 02132-4927. NPI Number Heather M Tavares NP has the Individual type.

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1336244706 NPI number is provided on an as is basis without warranty of any kind. 1336244706 is maintained by the National Plan & Provider Enumeration System. The contents of Heather M Tavares NP are for informational purposes only.