Individual provider · Type 1 NPI
Carolyn Renee Tavares, RN
General Practice Registered Nurse · Ithaca, NY
NPI number
1922216258
Active
Practice location
2192 Mecklenburg Rd
Ithaca, NY 14850-9322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 363370-1 (NY) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Ithaca
About NPI 1922216258
Carolyn Renee Tavares, RN's National Provider Identifier is 1922216258, issued on May 18, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.