Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE ELAINE TAVARES, FNP-BC
ActiveKATHERINE ELAINE TAVARES, FNP-BC is a Primary Care Nurse Practitioner healthcare provider located in PERIDOT, Arizona. NPI 1992433874 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · PERIDOT, AZ
Registration Details
- NPI Number
- 1992433874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2022 (3.8710473581197 yrs)
- Last Updated
- Aug 16, 2022
- Licenses
-
RN105209 (AZ)279367 (AZ)
Practice Information
- Address
-
103 MEDICINE WAY RDPERIDOT, AZ, 855425000Browse AZ providers · Browse ZIP 85542
- Phone
- 9284751400
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.