person
Marielle Tavares
Family Nurse Practitioner in Los Angeles, California
NPI 1376282475

Marielle Tavares is a Family Nurse Practitioner based in Valley Glen, CA and is specialized in Family. Marielle Tavares practices in Los Angeles, CA. The NPI Number for Marielle Tavares is 1376282475 and holds a License No. 95020541 (California).

The current practice location address for Marielle Tavares is 808 W 58Th St, Los Angeles, CA and can be reached out via phone at 310-948-6356.

Location: 808 W 58Th St, Los Angeles, CA, 91401-4533
person
Provider Profile Details
NPI Number
1376282475
Provider Name
Marielle Tavares
Credential
Provider Entity Type
Individual
Gender
Female
Address
808 W 58Th St, Los Angeles, CA, 91401-4533
Phone Number
310-948-6356
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 W 58Th St
City
State
Zip
90037-3632
Phone Number
310-948-6356
Fax Number
person
Provider Business Mailing Address Details
Address
808 W 58Th St
City
State
Zip
90037-3632
Phone Number
310-948-6356
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95020541 (California)
Definition
Definition to come...
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