MEDICARE: NADINE TAVARES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1447188057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE TAVARES

Provider Business Mailing Address
First Line	:	50 ATWOOD AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-2410
Country	:	US
Telephone Number	:	401-663-1719
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ATWOOD AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-2410
Country	:	US
Telephone Number	:	401-663-1719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ NADINE TAVARES ” Practice Location

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