MS. LYNNE TAMARA TAVERA A.N.P. NPI 1952442535

NPI Information

MS. Lynne Tamara Tavera, A.N.P. is an adult health nurse practitioner in Burlingame, CA with 22 years of experience. MS. Lynne Tamara Tavera, A.N.P. NPI is 1952442535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2002

The provider's business location address is:

1750 EL CAMINO REAL STE 11
BURLINGAME, CA
ZIP 94010-208
Phone: (650) 692-1373
Fax: (650) 692-4209

The NPI 1952442535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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