Tavaziva, Patricia

Tavaziva, Patricia is an individual health care provider with primary practice located at 1041 Noell Ln Suite 105, Rocky Mount NC 27804-2058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tavaziva, Patricia can be contacted via phone (252) 451-2700.

Contact Information

Primary practice address
1041 Noell Ln Suite 105 Rocky Mount NC 27804-2058
Fax: (252) 451-2702
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004751 North Carolina

Profile Details

NPI number 1841518255
LBN Legal business name Tavaziva, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2010
Last updated Apr 25th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841518255 NPPES
North Carolina MEDICAID 7004730

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