Provider Demographics
NPI:1275026049
Name:TAFFERE, SENAIT B (PA-C)
Entity Type:Individual
Prefix:
First Name:SENAIT
Middle Name:B
Last Name:TAFFERE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8332 MONTGOMERY RUN RD.
Mailing Address - Street 2:UNIT K
Mailing Address - City:ELLICOT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-8564
Mailing Address - Country:US
Mailing Address - Phone:202-718-8995
Mailing Address - Fax:
Practice Address - Street 1:8 NORTHBROOK DR UNIT 805
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-8564
Practice Address - Country:US
Practice Address - Phone:120-271-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant