Kavanaugh, Tara

Kavanaugh, Tara is an individual health care provider with primary practice located at 577 Western Ave Health Services Scanlon Building, Westfield MA 01085-2580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kavanaugh, Tara can be contacted via phone (413) 572-5415.

Contact Information

Primary practice address
577 Western Ave Health Services Scanlon Building Westfield MA 01085-2580
Phone: (413) 572-5415
Fax: (413) 572-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 258223 Massachusetts

Profile Details

NPI number 1598844599
LBN Legal business name Kavanaugh, Tara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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