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Carolyn Renee Tavares, RN
General Practice Registered Nurse in Ithaca, New York
NPI 1922216258

Carolyn Renee Tavares is a General Practice Registered Nurse based in Ithaca, NY and is specialized in General Practice. Carolyn Renee Tavares practices in Ithaca, NY and has the professional credentials of RN. The NPI Number for Carolyn Renee Tavares is 1922216258 and holds a License No. 363370-1 (New York).

The current practice location address for Carolyn Renee Tavares is 2192 Mecklenburg Rd, Ithaca, NY and can be reached out via phone at 607-256-3617. You can also correspond with Carolyn Renee Tavares through the mailing address at 2192 MECKLENBURG RD, ITHACA, NY - 14850-9322 (mailing address contact number: 607-256-3617).

Location: 2192 Mecklenburg Rd, Ithaca, NY, 14850-9322
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Provider Profile Details
NPI Number
1922216258
Provider Name
Carolyn Renee Tavares
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2192 Mecklenburg Rd, Ithaca, NY, 14850-9322
Phone Number
607-256-3617
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01987508 05 NY
institution
Provider Business Practice Location Address Details
Address
2192 Mecklenburg Rd
City
State
Zip
14850-9322
Phone Number
607-256-3617
Fax Number
person
Provider Business Mailing Address Details
Address
2192 Mecklenburg Rd
City
State
Zip
14850-9322
Phone Number
607-256-3617
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
363370-1 (New York)
Definition
Definition to come...
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