Individual provider · Type 1 NPI
Amanda Elyse Tavarez, RN
Family Nurse Practitioner · Rancho Mirage, CA
NPI number
1740985878
Active
Practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Fax (760) 346-3037
Other practice locations
- 2038 W Park Ave, Redlands, CA 92373-6260 · (833) 462-4800
- 45280 Seeley Dr, La Quinta, CA 92253-6834 · (760) 346-7655
- 57725 29 Palms Hwy, Yucca Valley, CA 92284-3044 · (760) 346-7655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95025355 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95030859 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740985878
Amanda Elyse Tavarez, RN's National Provider Identifier is 1740985878, issued on Mar 30, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Aug 4, 2025.