National Provider Identifier
Carolyn Renee Tavares, RN
Carolyn Renee Tavares, RN is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Ithaca, NY and a listed phone number of (607) 256-3617.
Profile Overview
- NPI
- 1922216258
- Provider Type
- Individual
- Primary Specialty
- General Practice Registered Nurse
- Enumeration Date
- May 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2192 Mecklenburg RD
- Ithaca, NY 14850-9322
Phone: (607) 256-3617
Specialties
- General Practice Registered Nurse (163WG0000X)
Full Record
- NPI
- 1922216258
- Entity Type
- Individual
- Last Name
- Tavares
- First Name
- Carolyn
- Middle Name
- Renee
- Credential
- RN
- Mailing Street Address
- 2192 Mecklenburg RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9322
- Mailing Country
- US
- Mailing Phone
- (607) 256-3617
- Practice Street Address
- 2192 Mecklenburg RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9322
- Practice Country
- US
- Practice Phone
- (607) 256-3617
- Enumeration Date
- May 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Registered Nurse (163WG0000X)
- Other Identifiers
- 01987508 (NY)