Katherine Elaine Tavares, FNP-BC
Katherine Elaine Tavares, FNP-BC is a Nurse Practitioner in Peridot, Arizona. Qualified in 2022, 4 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 4
- Licensed in
- AZ
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- FNP-BC — Family Nurse Practitioner, Board Certified
- A family nurse practitioner certified by the ANCC.
Practice location Address checks out
103 Medicine Way RdPeridot, AZ 85542-5000
Phone: (928) 475-1400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 279367 (AZ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence RN105209 (AZ) |
Record details
| NPI number | 1992433874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-BC |
| Sole proprietor | No |
| NPI enumerated | August 9, 2022 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 12, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | San Carlos Apache Healthcare Corporation — 145 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peridot
-
Sandra Maria Leier, RN
103 Medicine Way Rd, Peridot, AZ 85542-5000 · (928) 651-2602
-
Jessica Dawn Minadeo
103 Medicine Way Rd, Peridot, AZ 85542-5000 · (928) 475-1540
-
MS. Dorothea Blanche Stevens, RN
102 Medicine Way, Peridot, AZ 85542 · (928) 475-1540
-
Nalani Ann Stevens
103 Medicine Way Rd, Peridot, AZ 85542-5000 · (928) 961-0101