Individual provider · Type 1 NPI
Marielle Tavares
Family Nurse Practitioner · Los Angeles, CA
NPI number
1376282475
Active
Practice location
6230 Wilshire Blvd Ste A
Los Angeles, CA 90048-5126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95020541 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1376282475
Marielle Tavares's National Provider Identifier is 1376282475, issued on May 27, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 20, 2026.