Tavener, Michelle D

Tavener, Michelle D is an individual health care provider with primary practice located at 5437 Kietzke Ln , Reno NV 89511-1088. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tavener, Michelle D can be contacted via phone (775) 322-4550.

Contact Information

Primary practice address
5437 Kietzke Ln Reno NV 89511-1088
Phone: (775) 322-4550
Fax: (755) 322-4956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN000957 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN000957 Nevada

Profile Details

NPI number 1962689406
LBN Legal business name Tavener, Michelle D
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Apr 11th, 2024 - about 2 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 1962689406 NPPES
Nevada Other 12200330 CAQH

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