Individual provider · Type 1 NPI

Michael C. Tavares, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Bangor, ME

NPI number 1558089276 Active

Practice location

181 Corporate Dr
Bangor, ME 04401-4314

Mailing address

PO Box 1599
Bangor, ME 04402-1599

Other practice locations

  • 1221 W Lakeview Ave, Pensacola, FL 32501-1836 · (850) 469-3500
  • 6119 Hilburn Rd, Pensacola, FL 32504-6218 · (850) 602-8467

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN11022135 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XCNP241426 (ME)

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

9 other providers at this address

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About NPI 1558089276

Michael C. Tavares, PMHNP's National Provider Identifier is 1558089276, issued on Aug 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bangor, ME. The record was last updated on Oct 28, 2024.