Individual provider · Type 1 NPI
Emily Krystine Tavag, CPNP-PC
Pediatric Nurse Practitioner · Brooklyn, NY
NPI number
1134590110
Active
Practice location
427 38th St
Brooklyn, NY 11232-2514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382472 (NY) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1134590110
Emily Krystine Tavag, CPNP-PC's National Provider Identifier is 1134590110, issued on Oct 15, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 15, 2015.