Active NPIIndividual providerSole proprietor

Janice Tavares, APRN

Nurse Practitioner in Bridgeport, Connecticut

NPI Number1609428721
Practice location
439 Mill Hill Ave, Bridgeport, CT 06610-2866
Fax
—
Last updated
August 22, 2019

Janice Tavares is a Nurse Practitioner based in Bridgeport, CT. Janice Tavares practices in Bridgeport, CT and has the professional credentials of APRN. The NPI Number for Janice Tavares is 1609428721 and holds a License No. 107221 (CT). The current practice location address for Janice Tavares is 439 Mill Hill Ave, Bridgeport, CT 06610-2866 and can be reached out via phone at 203-334-2100.

Provider Profile Details

NPI Number
1609428721
Provider Name
Janice Tavares
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
439 Mill Hill Ave, Bridgeport, CT 06610-2866
Phone Number
203-334-2100
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2019
Last Update Date
August 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
439 Mill Hill Ave
Bridgeport, CT 06610-2866
Zip
06610-2866
Phone Number
203-334-2100
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
146 E Gate Ln
Hamden, CT 06514-2234
City
Hamden
State
CT
Zip
06514-2234

License Information

License Number (1)
107221
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (3)
8408
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioners near Bridgeport, CT

View all Nurse Practitioners in Bridgeport →

Frequently Asked Questions

What is the NPI number of Janice Tavares, APRN?

The NPI number of Janice Tavares, APRN is 1609428721. It was assigned on July 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Janice Tavares, APRN?

Janice Tavares, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 107221.

Where does Janice Tavares, APRN practice?

The practice location is 439 Mill Hill Ave, Bridgeport, CT 06610-2866. The office can be reached at 203-334-2100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609428721 directly on the NPPES registry website.

Browse related providers