MS. LYNNE TAMARA TAVERA


Address: 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208
Phone: 6506921373

MS. LYNNE TAMARA TAVERA (NPI# 1952442535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952442535
Entity Type Individual
Full Name MS. LYNNE TAMARA TAVERA
Credential A.N.P.
Practice Address 1750 El Camino Real Ste 11
Burlingame
CA 94010-3208
Practice Telephone 6506921373
Practice Fax Number 6506924209
Mailing Telephone 6506921373
Mailing Fax Number 6506924209
Enumeration Date 2007-02-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
13288 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZZ71317Z 05

Office Location

Street Address 1750 EL CAMINO REAL STE 11
City BURLINGAME
State CA
Zip Code 94010-3208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700812856 Catherine A Chimenti Internal Medicine 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208 2006-06-23
1801825203 Michael H Girolami Internal Medicine 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208 2006-06-30
1386686400 Arnold William Goldschlager Internal Medicine 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208 2006-06-12

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053950881 Shian Li Luo Nurse Practitioner 1828 El Camino Real Ste 405, Burlingame, CA 94010-3115 2019-12-26
1154689545 Geoffrey Van Den Brande Nurse Practitioner 1501 Trousdale Dr, Burlingame, CA 94010-4506 2012-04-24
1265603492 Marta Storwick Nurse Practitioner 1501 Trousdale Dr, 4th Floor, Burlingame, CA 94010-4506 2008-03-15
1770611121 Sarah Conneely Nurse Practitioner 1720 El Camino Real, Suite #130, Burlingame, CA 94010-3224 2007-02-28

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Competitor

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City BURLINGAME
Zip Code 94010

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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