Individual provider · Type 1 NPI

Ian Taveras, APN

Gerontology Nurse Practitioner · Neptune, NJ

NPI number 1114756251 Active

Practice location

1945 NJ-33
Neptune, NJ 07753

Mailing address

1142 Kenton Dr
Toms River, NJ 08753-3072

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ14958500 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1114756251

Ian Taveras, APN's National Provider Identifier is 1114756251, issued on Jul 29, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Neptune, NJ. The record was last updated on Jul 29, 2024.