Individual provider · Type 1 NPI

Desiree Tavarez, PNP

Pediatric Nurse Practitioner · Braintree, MA

NPI number 1255089090 Active

Practice location

111 Grossman Dr
Braintree, MA 02184-4997

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN2341137 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255089090

Desiree Tavarez, PNP's National Provider Identifier is 1255089090, issued on Mar 11, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Braintree, MA. The record was last updated on Mar 11, 2022.