MS. AMANDA ELYSE TAVAREZ RN NPI 1740985878

NPI Information

  • NPI: 1740985878
  • Provider Name: MS. AMANDA ELYSE TAVAREZ, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2038 W PARK AVE
    REDLANDS, CA
    ZIP 92373
  • Phone: (833) 462-4800

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NPI Details

MS. Amanda Elyse Tavarez, RN is a family nurse practitioner in Redlands, CA. MS. Amanda Elyse Tavarez, RN NPI is 1740985878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2038 W PARK AVE
REDLANDS, CA
ZIP 92373-260
Phone: (833) 462-4800

The enumeration date for this NPI number is 3/30/2023 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95025355CALIFORNIANo
2363LF0000XNurse PractitionerFamily95030859CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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