National Provider Identifier

Tavifa Bordonaro, REGISTERED NURSE

Tavifa Bordonaro, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Orchard Park, NY and a listed phone number of (716) 445-9779.

NPI 1457020489Orchard Park, NYHome Health Registered Nurse

Profile Overview

NPI
1457020489
Provider Type
Individual
Primary Specialty
Home Health Registered Nurse
Enumeration Date
September 13, 2021
Last Updated
September 13, 2021

Practice Location

  • 100 Philson Dr
  • Orchard Park, NY 14127-3221

Phone: (716) 445-9779

Specialties

  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1457020489
Entity Type
Individual
Last Name
Bordonaro
First Name
Tavifa
Credential
REGISTERED NURSE
Mailing Street Address
100 Philson Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3221
Mailing Country
US
Practice Street Address
100 Philson Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3221
Practice Country
US
Practice Phone
(716) 445-9779
Enumeration Date
September 13, 2021
Last Updated
September 13, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Registered Nurse (163WH0200X)