Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Renee Tavares, RN

Individual provider General Practice Registered Nurse · NPI 1922216258

Carolyn Renee Tavares, RN is a General Practice Registered Nurse in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2192 Mecklenburg Rd
Ithaca, NY 14850-9322
Phone: (607) 256-3617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 363370-1 (NY)

Record details

NPI number1922216258
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007

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