Individual provider · Type 1 NPI

Michelle Tavares, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Glens Falls, NY

NPI number 1265013312 Active

Practice location

37 Everts Ave
Glens Falls, NY 12804-2040

Fax (518) 793-6325

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X405859 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1265013312

Michelle Tavares, PMHNP-BC's National Provider Identifier is 1265013312, issued on Apr 20, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glens Falls, NY. The record was last updated on Oct 10, 2024.