Tavares, Heather M

Tavares, Heather M is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tavares, Heather M can be contacted via phone (617) 323-7700.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 198650 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 198650 Massachusetts

Profile Details

NPI number 1336244706
LBN Legal business name Tavares, Heather M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Aug 3rd, 2012 - about 12 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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