IndividualActive
Carolyn Tavares, RN
NPI 1922216258 · General Practice Registered Nurse · Ithaca, NY
Provider details
- NPI number
- 1922216258
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 363370-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
2192 Mecklenburg Rd
Ithaca, NY 14850-9322
Phone: (607) 256-3617
Approximate (ZIP-level) locationGet directions
Mailing address
2192 Mecklenburg Rd
Ithaca, NY 14850-9322
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.